Organization
PATRIOTS SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WARREN RUDOWSKI II PHD (CEO)
(586) 489-1193
Entity
Organization
Contact information
Practice address
15760 19 MILE RD, SUITE E, CLINTON TOWNSHIP, MI 48038-6319
(586) 489-1193
(586) 416-2580
Mailing address
15760 19 MILE RD, SUITE E, CLINTON TOWNSHIP, MI 48038-6319
(586) 489-1193
(586) 416-2580
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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