Mobile Prosthetics of Michigan Corp

NPI #1437478088 in Ithaca, Michigan

Provider Information

NPI Number
1437478088
Entity Type
Organization
Organization Name
Mobile Prosthetics of Michigan Corp
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
May 21, 2010
Last Updated
Jul 2, 2010

Practice Location

Address
1326 E CENTER ST STE 2
City
Ithaca
ZIP Code
48847-1619
Phone
(989) 875-7000

Authorized Official

Name
TONY G COOK, CERTIFIED PROSTHESIS
Title
OWNER/PRESTIDENT/CERT. PROSTHESIS
Phone
(989) 875-7000

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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