Great Lakes Orthotics & Medical Supply, Inc.
NPI #1770947897 in West Milwaukee, Wisconsin
Provider Information
- NPI Number
- 1770947897
- Entity Type
- Organization
- Organization Name
- Great Lakes Orthotics & Medical Supply, Inc.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 6, 2016
- Last Updated
- Mar 25, 2024
Practice Location
- Address
- 1670 MILLER PARK WAY
- City
- West Milwaukee
- State
- Wisconsin
- ZIP Code
- 53214-3604
- Phone
- (414) 897-8380
Authorized Official
- Name
- MR. MICHAEL SEAMUS BUGGY
- Title
- PRESIDENT
- Phone
- (414) 828-9256
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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