Orthomold INC
NPI #1508951880 in White Lake, Michigan
Provider Information
- NPI Number
- 1508951880
- Entity Type
- Organization
- Organization Name
- Orthomold INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 5575 JACKSON BLVD
- City
- White Lake
- State
- Michigan
- ZIP Code
- 48383-1919
- Phone
- (248) 889-4800
Authorized Official
- Name
- MR. SAM IAFRATE
- Title
- PRESIDENT
- Phone
- (248) 889-4800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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