Provider Demographics
NPI:1568796381
Name:RESSEM LLC
Entity Type:Organization
Organization Name:RESSEM LLC
Other - Org Name:MESSER MOBILITY DETROIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MESSER
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:616-295-1006
Mailing Address - Street 1:PO BOX 1317
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48068-1317
Mailing Address - Country:US
Mailing Address - Phone:248-549-2360
Mailing Address - Fax:248-549-2362
Practice Address - Street 1:32398 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-0945
Practice Address - Country:US
Practice Address - Phone:248-549-2360
Practice Address - Fax:248-549-2362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-25
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier