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Mastec Womens Boutique
Durable Medical Equipment & Medical Supplies in Portage, Michigan
NPI 1194888628

Mastec Womens Boutique is a Durable Medical Equipment & Medical Supplies based in Portage, MI. Mastec Womens Boutique practices in Portage, MI. The NPI Number for Mastec Womens Boutique is 1194888628 and holds a License No. (Michigan).

The current practice location address for Mastec Womens Boutique is 524 E Milham Ave, Portage, MI and can be reached out via phone at 269-373-6223 and via fax at 269-373-6223.

Location: 524 E Milham Ave, Portage, MI, 49002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194888628
Provider Name
Mastec Womens Boutique
Credential
Provider Entity Type
Organization
Address
524 E Milham Ave, Portage, MI, 49002
Phone Number
269-373-6223
Fax Number
269-373-6223
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
540C903700 01 MI BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
524 E Milham Ave
City
Portage
State
Michigan
Zip
49002-1473
Phone Number
269-373-6223
Fax Number
269-373-6223
person
Provider Business Mailing Address Details
Address
524 E Milham Ave
City
Portage
State
Michigan
Zip
49002-1473
Phone Number
269-373-6223
Fax Number
269-373-6223
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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