Mary Free Bed Orthotics and Prosthetics
NPI #1619929643 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1619929643
- Entity Type
- Organization
- Organization Name
- Mary Free Bed Orthotics and Prosthetics
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- May 17, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 360 LAFAYETTE AVE SE
- Address 2
- SUITE 320
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49503-4677
- Phone
- (616) 356-1916
Authorized Official
- Name
- MR. MARK A PORTH
- Title
- CHIEF COMPLIANCE OFFICER
- Phone
- (616) 356-1916
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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