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Organization

STAR MEDICAL EQUIPMENT AND SUPPLIES

Active
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Organization

STAR MEDICAL EQUIPMENT AND SUPPLIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BERTRAM N NWAOPARA (CEO)
(248) 471-4669
Entity
Organization

Contact information

Practice address
34741 GRAND RIVER AVE, FARMINGTON, MI 48335-3315
(248) 471-4669
(248) 471-4899
Mailing address
34741 GRAND RIVER AVE, FARMINGTON, MI 48335-3315
(248) 471-4669
(248) 471-4899

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4693619
MI
Enumeration date
11/26/2007
Last updated
11/26/2007
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