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Organization

MEDSOURCE DIRECT, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA HAMMOUD (CHIEF OPERATING OFFICER)
(313) 701-9906
Entity
Organization

Contact information

Practice address
27614 FORD RD, GARDEN CITY, MI 48135-2931
(866) 942-6742
Mailing address
27614 FORD RD, GARDEN CITY, MI 48135-2931
(866) 942-6742

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
08/14/2025
Last updated
08/14/2025
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