Organization
MICHIANA MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARMEN ANN BROWER (OWNER/PRESIDENT)
(269) 313-2370
Entity
Organization
Contact information
Practice address
1509 W JOHN BEERS RD STE A&B, STEVENSVILLE, MI 49127-9408
(269) 932-4765
(269) 621-6110
Mailing address
1509 W JOHN BEERS RD STE A&B, STEVENSVILLE, MI 49127-9408
(269) 932-4765
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
05/14/2021
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