Organization
MN GROUP INC
Active
Other names
Medic One Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GLENN TALLEY (PRESIDENT OWNER)
(734) 946-4008
Entity
Organization
Contact information
Practice address
28111 NORTHLINE RD, ROMULUS, MI 48174-2829
(734) 946-4008
(734) 946-4872
Mailing address
PO BOX 7, TAYLOR, MI 48180-0007
(734) 946-4008
(734) 946-4872
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
382806532
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1975810
—
MI
Enumeration date
10/05/2005
Last updated
06/20/2008
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