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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