MEDICARE: M&W PRESERVATION 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
1	347E00000X	Transportation Broker

General Provider Information

NPI Number	:	1902753171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M&W PRESERVATION INC

Provider Business Mailing Address
First Line	:	1106 KURTZ ST
Second Line	:	1106 KURTZ ST
City	:	MAUMEE
State	:	OH
Zip	:	43537-2947
Country	:	US
Telephone Number	:	313-460-1103
Fax Number	:	419-902-8363

Provider Business Practice Location Address
First Line	:	8662 MINOCK ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48228-3041
Country	:	US
Telephone Number	:	313-460-1103
Fax Number	:	313-460-1103

Authorized Official
Title or Position	:	CEO
Name	:	MR. JUAN LAMAR WHITE
Credential	:	WHITE
Telephone Number	:	313-460-1103

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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