Healthcare Provider Details

I. General information

NPI: 1699298307
Provider Name (Legal Business Name): ANDERSON MEDICAL SUPPLIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2017
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

691 N SQUIRREL RD STE 235
AUBURN HILLS MI
48326-2863
US

IV. Provider business mailing address

691 N SQUIRREL RD STE 235
AUBURN HILLS MI
48326-2863
US

V. Phone/Fax

Practice location:
  • Phone: 248-509-7666
  • Fax: 248-509-7665
Mailing address:
  • Phone: 248-509-7666
  • Fax: 248-509-7665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ANDREA WALSH
Title or Position: AUTHORIZED OFFICIAL/OPERATIONS MGR
Credential:
Phone: 248-509-7666