Wisconsin Prosthetics & Orthotics INC
Prosthetic/Orthotic Supplier in Green Bay, WI. Organization (NPI-2).
NPI number1962409482
StatusActive
Last updated in NPPESMar 8, 2017
Details
- NPI
- 1962409482
- Entity type
- Organization (NPI-2)
- Legal business name
- Wisconsin Prosthetics & Orthotics INC
- Organization subpart
- No
- Enumeration date
- Jun 30, 2005
- Last updated
- Mar 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Other names
- Novacare Prosthetics & Orthotics (Doing Business As)
Practice location
1845 Velp AveSte A
Green Bay, WI 54303-6594
Phone 920-435-3537 · Fax 920-435-3545
Mailing address
4714 Gettysburg RdMechanicsburg, PA 17055-4325
Authorized official
Michael E. Tarvin
Vp & Secretary
7179721100
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