Organization
CADWELL THERAPEUTICS, INC.
Active
Parent organization
CADWELL THERAPEUTICS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CADWELL THERAPEUTICS, INC.
Authorized official
PHILL FOSSUM (REGIONAL MANAGER)
(586) 991-5964
Entity
Organization
Contact information
Practice address
43200 DEQUINDRE RD, SUITE 104, STERLING HEIGHTS, MI 48314-1707
(586) 991-5964
(586) 991-5965
Mailing address
909 N KELLOGG ST, KENNEWICK, WA 99336-7669
(855) 843-5411
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/30/2012
Last updated
06/18/2012
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