Healthcare Provider Details

I. General information

NPI: 1508894189
Provider Name (Legal Business Name): PIERCE MEDICAL PRODUCTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 10/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8535 SECOR RD
LAMBERTVILLE MI
48144-9334
US

IV. Provider business mailing address

8535 SECOR RD
LAMBERTVILLE MI
48144-9334
US

V. Phone/Fax

Practice location:
  • Phone: 734-854-7864
  • Fax: 734-854-2418
Mailing address:
  • Phone: 734-854-7864
  • Fax: 734-854-2418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number383209872
License Number StateMI

VIII. Authorized Official

Name: MS. JEAN A PIERCE
Title or Position: OWNER
Credential: RN, BSN
Phone: 734-854-7864