Organization · Type 2 NPI
Green Lake Medical Supply, Inc
Durable Medical Equipment & Medical Supplies · Grosse Pointe Farms, MI
Practice location
93 Kercheval Ave
Grosse Pointe Farms, MI 48236-3600
Fax (313) 882-3947
Mailing address
18530 Mack Ave Ste 411
Grosse Pointe Farms, MI 48236-3254
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
Durable Medical Equipment & Medical Supplies: 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.
About NPI 1740401017
Green Lake Medical Supply, Inc's National Provider Identifier is 1740401017, issued on May 2, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Grosse Pointe Farms, MI. The record was last updated on Jul 21, 2022.