Organization
MI MED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DEGROFF COF (OWNER/DIRECTOR OF OPERATIONS)
(248) 648-0675
Entity
Organization
Contact information
Practice address
7688 HIGHLAND RD, WATERFORD, MI 48327-1409
(248) 648-0675
(248) 599-7710
Mailing address
7688 HIGHLAND RD, WATERFORD, MI 48327-1409
(248) 648-0675
(248) 599-7710
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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