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NPI Code Detail

MEDICARE: DIABETIC MANAGEMENT EQUIPMENT

MEDICARE: DIABETIC MANAGEMENT EQUIPMENT
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1750387338
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIABETIC MANAGEMENT EQUIPMENT
Provider Business Mailing Address
First Line : 10299 GRAND RIVER RD
Second Line : STE M
City : BRIGHTON
State : MI
Zip : 48116-9558
Country : US
Telephone Number : 800-634-6709
Fax Number :
Provider Business Practice Location Address
First Line : 10299 GRAND RIVER RD
Second Line : STE M
City : BRIGHTON
State : MI
Zip : 48116-9558
Country : US
Telephone Number : 800-634-6709
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. JOHN MULLANE
Credential :
Telephone Number : 800-634-6709
Provider Enumeration Date : 06/28/2005
Last Update Date : 08/22/2020

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Directions to “DIABETIC MANAGEMENT EQUIPMENT ” Practice Location

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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.

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