Pristine Medical LLC
NPI #1346478740 in Walled Lake, Michigan
Provider Information
- NPI Number
- 1346478740
- Entity Type
- Organization
- Organization Name
- Pristine Medical LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 24, 2009
- Last Updated
- Jul 6, 2009
Practice Location
- Address
- 1502 W WEST MAPLE RD
- City
- Walled Lake
- State
- Michigan
- ZIP Code
- 48390-2945
- Phone
- (248) 207-4358
Authorized Official
- Name
- JEFF ST. LOUIS
- Title
- PRESIDENT
- Phone
- (248) 757-4710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
| Durable Medical Equipment & Medical Supplies |
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