Provider Demographics
NPI:1821397217
Name:MARSON MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:MARSON MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BABU
Authorized Official - Middle Name:
Authorized Official - Last Name:PARAYIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-253-9600
Mailing Address - Street 1:35 S JOHNSON ST STE 2C
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-1661
Mailing Address - Country:US
Mailing Address - Phone:248-253-9600
Mailing Address - Fax:248-253-0980
Practice Address - Street 1:35 S JOHNSON
Practice Address - Street 2:2-C
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341
Practice Address - Country:US
Practice Address - Phone:248-253-9600
Practice Address - Fax:248-253-0980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies