Organization
GATE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA DALALY (MEMBER)
(248) 737-8687
Entity
Organization
Contact information
Practice address
31355 W 13 MILE RD, SUITE 200, FARMINGTON HILLS, MI 48334-2286
(248) 737-8680
Mailing address
31355 W 13 MILE RD, SUITE 200, FARMINGTON HILLS, MI 48334-2286
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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