Organization
MTG MOBILITY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WADE E. BROWN (RTS, COO)
(616) 765-3860
Entity
Organization
Contact information
Practice address
233 COUNTY LINE ROAD, FREEPORT, MI 49325
(616) 765-3860
(616) 765-3866
Mailing address
233 COUNTY LINE RD, FREEPORT, MI 49325
(616) 765-3860
(616) 765-3866
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4758437
—
MI
Enumeration date
08/15/2005
Last updated
08/22/2020
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