Individual
MR. KEITH WINDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15914 TRINITY ST, 15914 TRINITY ST, DETROIT, MI 48223
(313) 736-7734
Mailing address
15914 TRINITY, DETROIT, MI 48223
(313) 736-7734
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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