Organization
PLATINUM MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE SHEIKO (COO)
(313) 359-8300
Entity
Organization
Contact information
Practice address
5250 AUTO CLUB DR STE 170, DEARBORN, MI 48126-2619
(313) 359-8300
Mailing address
5250 AUTO CLUB DR STE 170, DEARBORN, MI 48126-2619
(313) 359-8300
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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