Organization
CANAM CORP
Active
Organization
CANAM CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD ROBERT MARTINDALE (OWNER)
(715) 868-0244
Entity
Organization
Contact information
Practice address
W12303 MARTINDALE LN, BRUCE, WI 54819-9511
(715) 868-0244
(715) 868-0245
Mailing address
W12303 MARTINDALE LN, BRUCE, WI 54819-9511
(715) 868-0244
(715) 868-0245
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NONE NEEDED
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170523
UCARE
MN
01
—
49-80062
MEDICA
MN
Enumeration date
06/04/2009
Last updated
06/04/2009
Update your record
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