Organization
ARTISTIC PROSTHETICS & DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASCHON VAN PROCTOR (PRESIDENT)
(480) 352-8200
Entity
Organization
Contact information
Practice address
29919 NORTHWESTERN HIGHWAY, SOUTHFIELD, MI 48034
(480) 352-8200
Mailing address
29919 NORTHWESTERN HIGHWAY, SOUTHFIELD, MI 48034
(480) 352-8200
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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