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NPI Code Detail

MEDICARE: THERABIONIC INC.

MEDICARE: THERABIONIC INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1740046259
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERABIONIC INC.
Provider Business Mailing Address
First Line : 1924 SHERWOOD GLN
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48302-1772
Country : US
Telephone Number : 312-961-0168
Fax Number :
Provider Business Practice Location Address
First Line : 1924 SHERWOOD GLN
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48302-1772
Country : US
Telephone Number : 312-961-0168
Fax Number :
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : VALERIE K PASCHE
Credential : MD
Telephone Number : 312-961-0168
Provider Enumeration Date : 02/22/2024
Last Update Date : 09/05/2025

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Directions to “THERABIONIC INC. ” Practice Location

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