Organization
GREAT LAKES MEDICAL EQUIPMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEHRISH KHURRAM (SOLE MEMBER)
(989) 892-7722
Entity
Organization
Contact information
Practice address
6940 DIXIE HWY, BRIDGEPORT, MI 48722-9760
(989) 892-7722
Mailing address
6940 DIXIE HWY, BRIDGEPORT, MI 48722-9760
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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