Organization
TDS, INC
Active
Other names
MEDICAL PRODUCTS DIVISION
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ROELL (OWNER/PRESIDENT)
(906) 774-1044
Entity
Organization
Contact information
Practice address
1112 SOUTH STEPHENSON AVE., IRON MOUNTAIN, MI 49801
(906) 774-3654
Mailing address
P.O. BOX 189, IRON MOUNTAIN, MI 49801
(906) 774-3654
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5301002759
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790978
—
MI
Enumeration date
10/19/2006
Last updated
04/28/2021
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