Organization
MEDICAL WIGS & HAIR PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREANNE COLLINS (OWNER)
(818) 664-5898
Entity
Organization
Contact information
Practice address
28860 SOUTHFIELD RD STE 102, LATHRUP VILLAGE, MI 48076-2726
(818) 664-5898
Mailing address
28860 SOUTHFIELD RD STE 102, LATHRUP VILLAGE, MI 48076-2726
(818) 664-5898
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
Update your record
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