Prosthetic Laboratories of Rochester, Inc.

NPI #1164685475 in Onalaska, Wisconsin

Provider Information

NPI Number
1164685475
Entity Type
Organization
Organization Name
Prosthetic Laboratories of Rochester, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
GMS OF ROCHESTER, INC.
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Jul 7, 2008
Last Updated
Jul 3, 2012

Practice Location

Address
831 CRITTER CT
Address 2
SUITE 300
ZIP Code
54650-8674
Phone
(608) 783-2009

Authorized Official

Name
BRIAN GREEN
Title
CEO
Phone
(507) 281-5250

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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