Organization
ADAPTIVE MEDIQUIP, INC
Active
Organization
ADAPTIVE MEDIQUIP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL FRAUTTEN (OWNER)
(586) 477-4535
Entity
Organization
Contact information
Practice address
64007 VAN DYKE RD, STE. 2, WASHINGTON, MI 48095-2581
(586) 477-4535
(586) 477-4578
Mailing address
64007 VAN DYKE RD, STE. 2, WASHINGTON, MI 48095-2581
(586) 477-4535
(586) 477-4578
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2825601
—
MI
Enumeration date
03/20/2006
Last updated
04/29/2013
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