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Green Lake Medical Supply, Inc
Durable Medical Equipment & Medical Supplies in Grosse Pointe Farms, Michigan
NPI 1740401017

Green Lake Medical Supply, Inc is a Durable Medical Equipment & Medical Supplies based in Grosse Pointe Farms, MI. Green Lake Medical Supply, Inc practices in Grosse Pointe Farms, MI. The NPI Number for Green Lake Medical Supply, Inc is 1740401017 and holds a License No. (Michigan).

The current practice location address for Green Lake Medical Supply, Inc is 93 Kercheval Ave, Grosse Pointe Farms, MI and can be reached out via phone at 313-882-3900 and via fax at 313-882-3947.

Location: 93 Kercheval Ave, Grosse Pointe Farms, MI, 48236-3254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740401017
Provider Name
Green Lake Medical Supply, Inc
Credential
Provider Entity Type
Organization
Address
93 Kercheval Ave, Grosse Pointe Farms, MI, 48236-3254
Phone Number
313-882-3900
Fax Number
313-882-3947
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3141989 05 MI
institution
Provider Business Practice Location Address Details
Address
93 Kercheval Ave
City
Grosse Pointe Farms
State
Michigan
Zip
48236-3600
Phone Number
313-882-3900
Fax Number
313-882-3947
person
Provider Business Mailing Address Details
Address
93 Kercheval Ave
City
Grosse Pointe Farms
State
Michigan
Zip
48236-3600
Phone Number
313-882-3900
Fax Number
313-882-3947
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(Michigan)
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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