Wolverine Orthotics, Inc.

NPI #1013938455 in Novi, Michigan

Provider Information

NPI Number: 1013938455
Entity Type: Organization
Organization Name: Wolverine Orthotics, Inc.
Primary Specialty: Orthotist
Enumeration Date: Jul 21, 2006
Last Updated: Dec 20, 2010

Practice Location

Address: 28455 HAGGERTY RD
Address 2: 101
City: Novi
State: Michigan
ZIP Code: 48377-2982
Phone: (248) 324-3010

Authorized Official

Name: MR. ERNST WALTER BASTIAN, CO
Title: PRESIDENT
Phone: (248) 324-3010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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