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Bruner Tammy
Prosthetic/Orthotic Supplier in Marion, Indiana
NPI 1073602256

Bruner Tammy is a Prosthetic/Orthotic Supplier based in Warsaw, IN. Bruner Tammy practices in Marion, IN. The NPI Number for Bruner Tammy is 1073602256 and holds a License No. 28060524A (Indiana).

The current practice location address for Bruner Tammy is 119 N Baldwin Ave, Marion, IN and can be reached out via phone at 765-664-7463.

Location: 119 N Baldwin Ave, Marion, IN, 46582
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073602256
Provider Name
Bruner Tammy
Credential
Provider Entity Type
Organization
Address
119 N Baldwin Ave, Marion, IN, 46582
Phone Number
765-664-7463
Fax Number
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000097375 01 IN BLUE CROSS BLUE SHIELD
100124200A 05 IN
institution
Provider Business Practice Location Address Details
Address
119 N Baldwin Ave
City
Marion
State
Indiana
Zip
46952
Phone Number
765-664-7463
Fax Number
person
Provider Business Mailing Address Details
Address
119 N Baldwin Ave
City
Marion
State
Indiana
Zip
46952
Phone Number
765-664-7463
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
28060524A (Indiana)
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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