Quad City Prosthetic INC

NPI #1952634982 in Peru, Illinois

Provider Information

NPI Number
1952634982
Entity Type
Organization
Organization Name
Quad City Prosthetic INC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Sep 9, 2009
Last Updated
Jul 30, 2018

Practice Location

Address
1222 SHOOTING PARK RD
Address 2
#104
City
Peru
ZIP Code
61354
Phone
(815) 223-1781

Authorized Official

Name
MR. DONALD GOERTZEN, CPO
Title
PRESIDENT
Phone
(309) 676-2276

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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