Organization
MAGIC MEDICAL WHOLESALE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN VAN VLIET (OWNER)
(734) 207-0560
Entity
Organization
Contact information
Practice address
44772 KIRK CT, CANTON, MI 48187-1717
(734) 207-0560
(734) 207-0746
Mailing address
43311 JOY RD # 615, CANTON, MI 48187-2075
(734) 207-0560
(734) 207-0746
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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