Virgin Girl Hair Medical Prosthesis is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Warren, Michigan. It is situated at 11885 E 12 Mile Rd Ste 200b, Warren and its contact number is 586-585-1446. The authorized person of Virgin Girl Hair Medical Prosthesis is Mr. Russell Marcilis Ii
who is Owner of the store and his/her contact number is 313-799-7935. Virgin Girl Hair Medical Prosthesis is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Center Profile:
Virgin Girl Hair Medical Prosthesis Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
11885 E 12 Mile Rd Ste 200b, Warren, Michigan, 48093-3474
Phone:
586-585-1446
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Russell Marcilis Ii
Position:
Owner
Contact Number:
313-799-7935
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Virgin Girl Hair Medical Prosthesis center are as mentioned below.
NPI Number:
1942677273
NPI Enumeration Date:
21 Aug, 2015
NPI Last Update On:
30 Dec, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Virgin Girl Hair Medical Prosthesis are as mentioned below.
Specialization
License Number
State
Status
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
562479018
Medicaid
Michigan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Virgin Girl Hair Medical Prosthesis 11885 E 12 Mile Rd Ste 200b, Warren, Michigan
Zip:
48093-3469
Phone Number:
586-585-1446
Patients can reach Virgin Girl Hair Medical Prosthesis at 11885 E 12 Mile Rd Ste 200b, Warren, Michigan or can call to book an appointment on 586-585-1446. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.