Organization
MODERN MEDICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GERALYN MARIE KANE (PRESIDENT)
(231) 627-9949
Entity
Organization
Contact information
Practice address
127 N. MAIN STREET, RETAIL PHARMACY, CHEBOYGAN, MI 49721
(231) 627-9949
(231) 627-8294
Mailing address
P.O. BOX 345, CHEBOYGAN, MI 49721
(231) 627-9949
(231) 627-8294
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2700732
—
MI
01
—
540A602530
BLUE CROSS
MI
05
—
872700732
—
MI
Enumeration date
02/14/2007
Last updated
02/16/2017
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