Pediatric Orthotic and Prosthetic Services - Midwest, LLC

NPI #1154721785 in Woodbury, Minnesota

Provider Information

NPI Number
1154721785
Entity Type
Organization
Organization Name
Pediatric Orthotic and Prosthetic Services - Midwest, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - MIDWEST, LLC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Sep 2, 2014
Last Updated
Apr 23, 2025

Practice Location

Address
215 RADIO DR STE 100
ZIP Code
55125-5817
Phone
(612) 593-6205

Authorized Official

Name
MR. JEFFREY J BRUCE, CPO
Title
MANAGER
Phone
(612) 596-6205

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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