Organization
MICROMEDICAL TECHNOLOGIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MILES (PRESIDENT)
(217) 483-2122
Entity
Organization
Contact information
Practice address
10 KEMP DR, CHATHAM, IL 62629-9769
(217) 483-2122
(217) 483-4533
Mailing address
10 KEMP DR, CHATHAM, IL 62629-9769
(217) 483-2122
(217) 483-4533
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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