Organization
DETROIT OXYGEN & MEDICAL EQUIPMENT CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE MARIE JOHNSON (CHIEF OPERATING OFFICER)
(586) 756-1400
Entity
Organization
Contact information
Practice address
24560 FORTERRA DR, WARREN, MI 48089-4371
(586) 756-1400
Mailing address
24560 FORTERRA DR, WARREN, MI 48089-4371
(586) 756-1400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
BME-0104426
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1702616
—
MI
01
—
236008
NCPDP
MI
01
—
5301005160
PHARMACY LICENSE
MI
Enumeration date
11/29/2005
Last updated
03/07/2023
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