Wisconsin Prosthetics & Orthotics INC

NPI #1962409482 in Green Bay, Wisconsin

Provider Information

NPI Number
1962409482
Entity Type
Organization
Organization Name
Wisconsin Prosthetics & Orthotics INC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Jun 30, 2005
Last Updated
Mar 8, 2017

Practice Location

Address
1845 VELP AVE
Address 2
STE A
ZIP Code
54303-6594
Phone
(920) 435-3537

Authorized Official

Name
MICHAEL E. TARVIN
Title
VP & SECRETARY
Phone
(717) 972-1100

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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