Organization
DIABETIC MANAGEMENT EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MULLANE (OWNER)
(800) 634-6709
Entity
Organization
Contact information
Practice address
10299 GRAND RIVER RD, STE M, BRIGHTON, MI 48116-9558
(800) 634-6709
Mailing address
10299 GRAND RIVER RD, STE M, BRIGHTON, MI 48116-9558
(800) 634-6709
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/28/2005
Last updated
08/22/2020
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