Advance Orthotics & Prosthetics
NPI #1083899041 in Alexandria, Minnesota
Provider Information
- NPI Number
- 1083899041
- Entity Type
- Organization
- Organization Name
- Advance Orthotics & Prosthetics
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jan 8, 2008
- Last Updated
- Apr 26, 2013
Practice Location
- Address
- 510 22ND AVE E
- Address 2
- STE 801
- City
- Alexandria
- State
- Minnesota
- ZIP Code
- 56308-4653
- Phone
- (320) 762-2210
Authorized Official
- Name
- MR. DAVID MICHAEL ELLIS, CPO
- Title
- CHIEF MANAGER/PRACTITIONER
- Phone
- (320) 762-2210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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