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Great Lakes Podiatry Pllc
Prosthetic/Orthotic Supplier in Escanaba, Michigan
NPI 1043728553

Great Lakes Podiatry Pllc is a Prosthetic/Orthotic Supplier based in Vulcan, MI. Great Lakes Podiatry Pllc practices in Escanaba, MI. The NPI Number for Great Lakes Podiatry Pllc is 1043728553 and holds a License No. 5901001228 (Michigan).

The current practice location address for Great Lakes Podiatry Pllc is 126 S 25Th St Ste A, Escanaba, MI and can be reached out via phone at 906-786-2385 and via fax at 906-563-2029.

Location: 126 S 25Th St Ste A, Escanaba, MI, 49892-8452
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043728553
Provider Name
Great Lakes Podiatry Pllc
Credential
Provider Entity Type
Organization
Address
126 S 25Th St Ste A, Escanaba, MI, 49892-8452
Phone Number
906-786-2385
Fax Number
906-563-2029
Provider Enumeration Date
01/18/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1982696209 05 MI
1225079932 05 MI
institution
Provider Business Practice Location Address Details
Address
126 S 25Th St Ste A
City
Escanaba
State
Michigan
Zip
49829-1364
Phone Number
906-786-2385
Fax Number
906-563-2029
person
Provider Business Mailing Address Details
Address
126 S 25Th St Ste A
City
Escanaba
State
Michigan
Zip
49829-1364
Phone Number
906-786-2385
Fax Number
906-563-2029
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
5901001228 (Michigan)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
5901001228 (Michigan)
Definition
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.
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