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Great Lakes Orthotics & Prosthetics Inc.
Prosthetic/Orthotic Supplier in Appleton, Wisconsin
NPI 1720023724

Great Lakes Orthotics & Prosthetics Inc. is a Prosthetic/Orthotic Supplier based in Appleton, WI. Great Lakes Orthotics & Prosthetics Inc. practices in Appleton, WI. The NPI Number for Great Lakes Orthotics & Prosthetics Inc. is 1720023724 and holds a License No. (Wisconsin).

The current practice location address for Great Lakes Orthotics & Prosthetics Inc. is 3950 Evergreen Ct Ste A, Appleton, WI and can be reached out via phone at 920-968-2240 and via fax at 920-968-2241. You can also correspond with Great Lakes Orthotics & Prosthetics Inc. through the mailing address at 3950 EVERGREEN CT STE A, APPLETON, WI - 54913-8903 (mailing address contact number: 920-968-2240).

Location: 3950 Evergreen Ct Ste A, Appleton, WI, 54913-8903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720023724
Provider Name
Great Lakes Orthotics & Prosthetics Inc.
Credential
Provider Entity Type
Organization
Address
3950 Evergreen Ct Ste A, Appleton, WI, 54913-8903
Phone Number
920-968-2240
Fax Number
920-968-2241
Provider Enumeration Date
06/17/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
41792000 05 WI
institution
Provider Business Practice Location Address Details
Address
3950 Evergreen Ct Ste A
City
Appleton
State
Wisconsin
Zip
54913-8903
Phone Number
920-968-2240
Fax Number
920-968-2241
person
Provider Business Mailing Address Details
Address
3950 Evergreen Ct Ste A
City
Appleton
State
Wisconsin
Zip
54913-8903
Phone Number
920-968-2240
Fax Number
920-968-2241
person
Provider's Taxonomy Details 1
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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