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Northern Orthotic And Prosthetic Center
Prosthetic/Orthotic Supplier in Grand Rapids, Minnesota
NPI 1417364100

Northern Orthotic And Prosthetic Center is a Prosthetic/Orthotic Supplier based in Grand Rapids, MN. Northern Orthotic And Prosthetic Center practices in Grand Rapids, MN. The NPI Number for Northern Orthotic And Prosthetic Center is 1417364100 and holds a License No. (Minnesota).

The current practice location address for Northern Orthotic And Prosthetic Center is 1279 S Pokegama Ave, Grand Rapids, MN and can be reached out via phone at 218-301-0001 and via fax at 218-301-0044.

Location: 1279 S Pokegama Ave, Grand Rapids, MN, 55744-4208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417364100
Provider Name
Northern Orthotic And Prosthetic Center
Credential
Provider Entity Type
Organization
Address
1279 S Pokegama Ave, Grand Rapids, MN, 55744-4208
Phone Number
218-301-0001
Fax Number
218-301-0044
Provider Enumeration Date
07/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1279 S Pokegama Ave
City
Grand Rapids
State
Minnesota
Zip
55744-4208
Phone Number
218-301-0001
Fax Number
218-301-0044
person
Provider Business Mailing Address Details
Address
1279 S Pokegama Ave
City
Grand Rapids
State
Minnesota
Zip
55744-4208
Phone Number
218-301-0001
Fax Number
218-301-0044
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
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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