Healthcare Provider Details

I. General information

NPI: 1578621173
Provider Name (Legal Business Name): SUN MEDICAL EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1938 WOODSLEE DR SUITE 100
TROY MI
48083-2235
US

IV. Provider business mailing address

1938 WOODSLEE DR SUITE 100
TROY MI
48083-2235
US

V. Phone/Fax

Practice location:
  • Phone: 248-280-2020
  • Fax: 248-280-1662
Mailing address:
  • Phone: 248-280-2020
  • Fax: 248-280-1662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateMI

VIII. Authorized Official

Name: MR. GREGORY JAMIAN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 248-280-2020