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Great Lakes Orthotics & Medical Supply, Inc.
Durable Medical Equipment & Medical Supplies in West Milwaukee, Wisconsin
NPI 1770947897

Great Lakes Orthotics & Medical Supply, Inc. is a Durable Medical Equipment & Medical Supplies based in West Milwaukee, WI. Great Lakes Orthotics & Medical Supply, Inc. practices in West Milwaukee, WI. The NPI Number for Great Lakes Orthotics & Medical Supply, Inc. is 1770947897 and holds a License No. (Wisconsin).

The current practice location address for Great Lakes Orthotics & Medical Supply, Inc. is 1670 Miller Park Way, West Milwaukee, WI and can be reached out via phone at 414-897-8380 and via fax at 262-436-1711.

Location: 1670 Miller Park Way, West Milwaukee, WI, 53214-3604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770947897
Provider Name
Great Lakes Orthotics & Medical Supply, Inc.
Credential
Provider Entity Type
Organization
Address
1670 Miller Park Way, West Milwaukee, WI, 53214-3604
Phone Number
414-897-8380
Fax Number
262-436-1711
Provider Enumeration Date
04/06/2016
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100063060 05 WI
institution
Provider Business Practice Location Address Details
Address
1670 Miller Park Way
City
West Milwaukee
State
Wisconsin
Zip
53214-3604
Phone Number
414-897-8380
Fax Number
262-436-1711
person
Provider Business Mailing Address Details
Address
1670 Miller Park Way
City
West Milwaukee
State
Wisconsin
Zip
53214-3604
Phone Number
414-897-8380
Fax Number
262-436-1711
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
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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.
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