Organization
MEDWARE L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLEN LYNNE BENNAGE DMEPOS (CEO)
(248) 808-1768
Entity
Organization
Contact information
Practice address
912 S OLD WOODWARD AVE, BIRMINGHAM, MI 48009-6721
(248) 647-3200
Mailing address
1961 HENRIETTA ST, BIRMINGHAM, MI 48009-4169
(248) 808-1768
(248) 258-9173
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Enumeration date
01/01/2007
Last updated
07/21/2022
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