Organization · Type 2 NPI
Boettcher Home Medical Supply, LLC
Customized Equipment (DME) · Bridgeport, MI
NPI number
1255472114
Active
Practice location
6230 Dixie Hwy
Bridgeport, MI 48722-9513
Fax (989) 777-3384
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | D1437T (MI) |
Customized Equipment (DME): Definition to come...
Other customized equipment (dme) providers in Bridgeport
About NPI 1255472114
Boettcher Home Medical Supply, LLC's National Provider Identifier is 1255472114, issued on Feb 12, 2007. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Bridgeport, MI. The record was last updated on Aug 22, 2020.