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Individual

JEFFREY PAUL CATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
826 W 11 MILE RD, MADISON HEIGHTS, MI 48071-3102
(248) 246-1669
Mailing address
PO BOX 1379, ROYAL OAK, MI 48068-1379
(248) 246-1669

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2102185764
MI
171WH0202X
Home Modifications Contractor
2102185764
MI
332B00000X
Durable Medical Equipment & Medical Supplies
2102185764
MI
332BC3200X
Customized Equipment (DME)
2102185764
MI

Other

Enumeration date
04/16/2019
Last updated
04/10/2020
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