Provider Demographics
NPI:1912247545
Name:DUELL MEDICAL SUPPLY
Entity Type:Organization
Organization Name:DUELL MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LAMBARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-630-0877
Mailing Address - Street 1:22017 WENDELL ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-2654
Mailing Address - Country:US
Mailing Address - Phone:586-630-0877
Mailing Address - Fax:586-477-0670
Practice Address - Street 1:22017 WENDELL ST
Practice Address - Street 2:
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48036-2654
Practice Address - Country:US
Practice Address - Phone:586-630-0877
Practice Address - Fax:586-477-0670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies