Organization
DOWNRIVER MEDICAL SUPPIES INC
Active
Other names
DEARBORN MEDICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY DUNATCHIK (PRESIENT)
(734) 225-7171
Entity
Organization
Contact information
Practice address
18025 FORT ST STE C, RIVERVIEW, MI 48193-7432
(734) 225-7171
(734) 225-7178
Mailing address
18025 FORT ST STE C, RIVERVIEW, MI 48193-7432
(734) 225-7171
(734) 225-7178
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5267569
—
MI
01
—
540H225670
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/12/2007
Last updated
07/21/2022
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