Organization
INFUSAL DIRECT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YIPSIS OROZCO-RUIZ (PRESIDENT)
(313) 361-1030
Entity
Organization
Contact information
Practice address
8315 GRAND RIVER AVE, DETROIT, MI 48204-2231
(313) 361-1030
Mailing address
8315 GRAND RIVER AVE, DETROIT, MI 48204-2231
(313) 361-1030
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP53590
MEDICARE PTAN
MI
Enumeration date
10/12/2007
Last updated
05/08/2009
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