Organization
STAR INFUSION AND COMPRESSION THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE GORDON NELLER (PRESIDENT OWNER)
(734) 671-2163
Entity
Organization
Contact information
Practice address
9584 GROSSE ILE PKWY, GROSSE ILE, MI 48138-1674
(734) 671-2163
(734) 671-0056
Mailing address
9584 GROSSE ILE PKWY, GROSSE ILE, MI 48138-1674
(734) 671-2163
(734) 671-0056
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
B14137
MI
Other
Enumeration date
02/27/2007
Last updated
09/24/2007
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