Healthcare Provider Details

I. General information

NPI: 1871308304
Provider Name (Legal Business Name): DUA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2025
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1663 STEPHENSON HWY
TROY MI
48083-2169
US

IV. Provider business mailing address

PO BOX 5
ARMADA MI
48005-0005
US

V. Phone/Fax

Practice location:
  • Phone: 248-282-6338
  • Fax: 248-886-4600
Mailing address:
  • Phone: 248-497-8555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANILA PALOKA
Title or Position: AM
Credential:
Phone: 248-282-6338