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
- City
- Brown Deer
- State
- Wisconsin
- 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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