Fs Grand Rapids South, LLC
NPI #1003126400 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1003126400
- Entity Type
- Organization
- Organization Name
- Fs Grand Rapids South, LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Oct 19, 2010
- Last Updated
- Oct 19, 2010
Practice Location
- Address
- 6750 KALAMAZOO AVE SE
- Address 2
- SUITE E
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49508-7897
- Phone
- (616) 698-7200
Authorized Official
- Name
- MR. ROBERT L SKINNER JR., C. PED
- Title
- OWNER
- Phone
- (616) 698-7200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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