Individual
ROY BANKHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35859 CRANBROOK CT, NEW BALTIMORE, MI 48047-4297
(586) 382-0055
Mailing address
35859 CRANBROOK CT, NEW BALTIMORE, MI 48047
(586) 707-7709
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
46-4590782
MI
Other
Enumeration date
03/04/2014
Last updated
12/16/2014
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