Michael's Orthotics, L.l.c.
NPI #1245626720 in Belleville, Illinois
Provider Information
- NPI Number
- 1245626720
- Entity Type
- Organization
- Organization Name
- Michael's Orthotics, L.l.c.
- Primary Specialty
- Specialist - Prosthetics Case Management
- Enumeration Date
- Apr 10, 2015
- Last Updated
- Apr 10, 2015
Practice Location
- Address
- 1551 CLASSEN DR
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62220-3260
- Phone
- (314) 532-5462
Authorized Official
- Name
- MR. T. MICHAEL KUKOWSKY, C. PED.
- Title
- CERTIFIED PEDORTHISTS
- Phone
- (314) 532-5462
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist - Prosthetics Case Management — Prosthetics Case Management |
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