| Organization Name: | DIRECT MEDICAL EQUIPMENT |
| NPI Number: | 1558320812 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTHONY WILLIAM POLLICELLA (PRESIDENT) |
| Mailing Address: | 52502 Grand River Ave Wixom |
| State: | MI US |
| Postal Code: | 483932318 |
| Phone Number: | 2484910276 |
| Fax Number: | 2484910279 |
| NPI Enumeration Date: | 03/23/2006 |
| NPI Last Update Date: | 07/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |