Organization
SALEM MEDICAL RESOURCES & SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY E CULLEN PEDORTHISTS (PRESIDENT)
(517) 896-9882
Entity
Organization
Contact information
Practice address
1380 HASLETT RD, HASLETT, MI 48840-9779
(517) 896-9882
(517) 339-5297
Mailing address
5927 BUTTONWOOD DR, HASLETT, MI 48840-9758
(517) 896-9882
(516) 339-5297
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
NOT APPLICABLE
MI
Other
Enumeration date
04/08/2006
Last updated
04/02/2008
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