MD Orthotic and Prosthetic Laboratory, Inc.
NPI #1699159624 in Olympia Fields, Illinois
Provider Information
- NPI Number
- 1699159624
- Entity Type
- Organization
- Organization Name
- MD Orthotic and Prosthetic Laboratory, Inc.
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jul 20, 2015
- Last Updated
- Jul 30, 2018
Practice Location
- Address
- 20060 GOVERNORS DR STE 102
- City
- Olympia Fields
- State
- Illinois
- ZIP Code
- 60461
- Phone
- (219) 736-8896
Authorized Official
- Name
- DONALD GOERTZEN, CPO
- Title
- PRESIDENT
- Phone
- (309) 676-2276
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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