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Mary Free Bed Orthotics And Prosthetics
Prosthetic/Orthotic Supplier in Grand Rapids, Michigan
NPI 1619929643

Mary Free Bed Orthotics And Prosthetics is a Prosthetic/Orthotic Supplier based in Grand Rapids, MI. Mary Free Bed Orthotics And Prosthetics practices in Grand Rapids, MI. The NPI Number for Mary Free Bed Orthotics And Prosthetics is 1619929643 and holds a License No. (Michigan).

The current practice location address for Mary Free Bed Orthotics And Prosthetics is 360 Lafayette Ave Se, Grand Rapids, MI and can be reached out via phone at 616-356-1916 and via fax at 616-356-1868.

Location: 360 Lafayette Ave Se, Grand Rapids, MI, 49503-5247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619929643
Provider Name
Mary Free Bed Orthotics And Prosthetics
Credential
Provider Entity Type
Organization
Address
360 Lafayette Ave Se, Grand Rapids, MI, 49503-5247
Phone Number
616-356-1916
Fax Number
616-356-1868
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
530D105100 01 MI BLUE CROSS UPIN
853222011 05 MI
institution
Provider Business Practice Location Address Details
Address
360 Lafayette Ave Se
City
Grand Rapids
State
Michigan
Zip
49503-4677
Phone Number
616-356-1916
Fax Number
616-356-1868
person
Provider Business Mailing Address Details
Address
360 Lafayette Ave Se
City
Grand Rapids
State
Michigan
Zip
49503-4677
Phone Number
616-356-1916
Fax Number
616-356-1868
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(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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