Organization
FUBIDIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW LEONARD MCCORD (OWNER)
(810) 742-8760
Entity
Organization
Contact information
Practice address
1234 N CENTER RD, BURTON, MI 48509-1427
(810) 742-8760
(810) 742-2595
Mailing address
1234 N CENTER RD, BURTON, MI 48509-1427
(810) 742-8760
(810) 742-2595
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
ME-0158195
MI
Other
Enumeration date
05/26/2006
Last updated
08/22/2020
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