MEDICARE: PRISTINE MEDICAL LLC

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
1	332900000X	Non-Pharmacy Dispensing Site
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1346478740
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRISTINE MEDICAL LLC

Provider Business Mailing Address
First Line	:	180 CHURCH ST
Second Line	:
City	:	SAINT IGNACE
State	:	MI
Zip	:	49781-1602
Country	:	US
Telephone Number	:	248-757-4710
Fax Number	:

Provider Business Practice Location Address
First Line	:	1502 W WEST MAPLE RD
Second Line	:
City	:	WALLED LAKE
State	:	MI
Zip	:	48390-2945
Country	:	US
Telephone Number	:	248-207-4358
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEFF ST. LOUIS
Credential	:
Telephone Number	:	248-757-4710

Provider Enumeration Date	:	06/24/2009
Last Update Date	:	07/06/2009

Similar Medicare Providers

1427406149 — CHARLENE THIEDE LMSW
Practice Location Address:

2945 E WEST MAPLE RD SUITE D407
COMMERCE TOWNSHIP, MI
48390-3801

Practice Phone: 248-624-3812
Practice Fax:

1174617948 — GARG AND ASSOCIATES INC
Practice Location Address:

2945 ORCHARD LAKE RD
KEEGO HARBOR, MI
48320-1458

Practice Phone: 248-681-4200
Practice Fax: 248-681-0818

1164516001 — TILAK R GARG M.D
Practice Location Address:

2945 ORCHARD LAKE RD
KEEGO HARBOR, MI
48320-1458

Practice Phone: 248-681-4200
Practice Fax: 248-681-0818

1265659619 — GARG AND ASSOCIATES
Practice Location Address:

2945 ORCHARD LAKE RD
KEEGO HARBOR, MI
48320-1458

Practice Phone: 248-681-4200
Practice Fax: 248-681-0818

1649507062 — RICE LAKE FAMILY EYECARE, LLC
Practice Location Address:

2900 S MAIN ST , SUITE NUMBER 15
RICE LAKE, WI
54868-2945

Practice Phone: 715-234-1511
Practice Fax: 715-234-1511

1740680495 — CARING TOUCH HOME CARE SERVICES,LLC
Practice Location Address:

2945 LAKE PORT DR
SNELLVILLE, GA
30039-5422

Practice Phone: 678-753-4838
Practice Fax:

Directions to “PRISTINE MEDICAL LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.