Organization
GREAT LAKES MEDICAL SUPPLY LLC
Active
Other names
BrightSky
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY J. HARGARTEN (CEO)
(586) 501-1062
Entity
Organization
Contact information
Practice address
23247 PINEWOOD ST, WARREN, MI 48091-4754
(586) 501-1062
(800) 292-0677
Mailing address
23247 PINEWOOD ST, WARREN, MI 48091-4754
(586) 501-1062
(800) 292-0677
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/02/2006
Last updated
10/14/2011
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