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Jerry Burgess Mulder
Durable Medical Equipment & Medical Supplies in Grand Rapids, Michigan
NPI 1962830794

Jerry Burgess Mulder is a Durable Medical Equipment & Medical Supplies based in Grand Rapids, MI. Jerry Burgess Mulder practices in Grand Rapids, MI. The NPI Number for Jerry Burgess Mulder is 1962830794 and holds a License No. (Michigan).

The current practice location address for Jerry Burgess Mulder is 426 Michigan St Ne Ste 207, Grand Rapids, MI and can be reached out via phone at 616-458-0631.

Location: 426 Michigan St Ne Ste 207, Grand Rapids, MI, 49503-5608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962830794
Provider Name
Jerry Burgess Mulder
Credential
Provider Entity Type
Organization
Address
426 Michigan St Ne Ste 207, Grand Rapids, MI, 49503-5608
Phone Number
616-458-0631
Fax Number
Provider Enumeration Date
10/14/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
426 Michigan St Ne Ste 207
City
Grand Rapids
State
Michigan
Zip
49503-5608
Phone Number
616-458-0631
Fax Number
person
Provider Business Mailing Address Details
Address
426 Michigan St Ne Ste 207
City
Grand Rapids
State
Michigan
Zip
49503-5608
Phone Number
616-458-0631
Fax Number
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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