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SUSAN MITHOFF QUADE OD PC NPI 1023294584


NPI Information

NPI: 1023294584
Provider Name: SUSAN MITHOFF QUADE OD PC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2299 WEST RD
TRENTON, MI
ZIP 48183
Phone: (734) 676-4500
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SUSAN MITHOFF QUADE OD PC is a durable medical equipment medical supplies in Trenton, MI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SUSAN MITHOFF QUADE OD PC NPI is 1023294584. The provider is registered as an organization entity type.

The provider's business location address is:

2299 WEST RD
TRENTON, MI
ZIP 48183-615
Phone: (734) 676-4500
Fax: (734) 676-1587

The provider's authorized official is Brian Quade .
The authorized official title is Office Manager and has the following contact phone number (734) 676-4500.

The enumeration date for this NPI number is 1/15/2008 and was last updated on 6/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies4901003686MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10N86570MEDICARE PINMICHIGAN
2900H22910OTHERMICHIGANBLUE CROSS
3U53742MEDICARE UPINMICHIGAN
4DO1832MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.