Organization
MEDEQUIP HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN D SPRINGSDORF (EXECUTIVE OFFICER)
(989) 723-8927
Entity
Organization
Contact information
Practice address
112 W EXCHANGE ST, OWOSSO, MI 48867-2816
(989) 723-8927
(989) 725-5732
Mailing address
112 W EXCHANGE ST, OWOSSO, MI 48867-2816
(989) 723-8927
(989) 725-5732
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1716999
—
MI
Enumeration date
10/27/2005
Last updated
08/22/2020
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