Organization
BREAK THRU MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SALVADOR P PLACENCIA (PRESIDENT)
(586) 469-1700
Entity
Organization
Contact information
Practice address
350 CHURCH ST, MOUNT CLEMENS, MI 48043-2186
(586) 469-1700
(586) 469-1703
Mailing address
350 CHURCH ST, MOUNT CLEMENS, MI 48043-2186
(586) 469-1700
(586) 469-1703
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4473230
—
MI
Enumeration date
01/30/2006
Last updated
01/10/2008
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