Great Lakes Orthotics & Medical Supply, Inc.

NPI #1891373593 in Brown Deer, Wisconsin

Provider Information

NPI Number
1891373593
Entity Type
Organization
Organization Name
Great Lakes Orthotics & Medical Supply, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
GREAT LAKES ORTHOTICS & MEDICAL SUPPLY, INC.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 1, 2021
Last Updated
Apr 1, 2021

Practice Location

Address
3900 W BROWN DEER RD STE 140
ZIP Code
53209-1220
Phone
(414) 897-8380

Authorized Official

Name
MICHAEL SEAMUS BUGGY
Title
PRESIDENT
Phone
(414) 828-9256

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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