Organization
CMW MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE WILFORD (OWNER)
(317) 721-9753
Entity
Organization
Contact information
Practice address
1389 WEST 86TH STREET, SUITE 251, INDIANAPOLIS, IN 46260
(317) 721-9753
(310) 593-4360
Mailing address
1389 WEST 86TH STREET, SUITE 251, INDIANAPOLIS, IN 46260
(317) 721-9753
(310) 593-4360
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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