Organization · NPI-2

Prosthetic Center, INC.

Prosthetic/Orthotic Supplier · Lansing, MI

NPI number1467454959
StatusActive
Last updated in NPPESMar 29, 2011

Details

NPI
1467454959
Entity type
Organization (NPI-2)
Legal business name
Prosthetic Center, INC.
Organization subpart
No
Enumeration date
Aug 15, 2005
Last updated
Mar 29, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Practice location

1200 S Washington Ave
Lansing, MI 48910-1651

Phone 517-372-7007 · Fax 517-372-0261

Mailing address

1200 S Washington Ave
Lansing, MI 48910-1651

Phone 517-372-7007 · Fax 517-372-0261

Authorized official

Ronald W. Junttonen
President
5173727007

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