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NPI Code Detail

MEDICARE: DORCHAK MEDICAL INC

MEDICARE: DORCHAK MEDICAL INC
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 SuppliesMI

General Provider Information

NPI Number : 1760761175
Entity Type Code : Organization
Provider Name (Legal Business Name) : DORCHAK MEDICAL INC
Provider Business Mailing Address
First Line : 29488 WOODWARD AVE STE 106
Second Line :
City : ROYAL OAK
State : MI
Zip : 48073-0903
Country : US
Telephone Number : 248-565-7560
Fax Number :
Provider Business Practice Location Address
First Line : 29488 WOODWARD AVE STE 106
Second Line :
City : ROYAL OAK
State : MI
Zip : 48073-0903
Country : US
Telephone Number : 248-565-7560
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. BRIAN JAMES DORCHAK
Credential :
Telephone Number : 248-565-7560
Provider Enumeration Date : 08/16/2011
Last Update Date : 08/16/2011

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Directions to “DORCHAK MEDICAL INC ” Practice Location

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