# ADVANCE ORTHOTICS & PROSTHETICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083899041
- **Authorized official:** MR. DAVID MICHAEL ELLIS CPO (CHIEF MANAGER/PRACTITIONER)
- **Authorized official phone:** (320) 762-2210

## Contact information

- **Practice address:** 510 22ND AVE E, STE 801, ALEXANDRIA, MN 56308-4653
- **Practice address phone:** (320) 762-2210
- **Practice address fax:** (320) 762-2753
- **Mailing address:** 510 22ND AVE E, STE 801, ALEXANDRIA, MN 56308-4653
- **Mailing address phone:** (320) 762-2210
- **Mailing address fax:** (320) 762-2753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 01/08/2008
- **Last updated:** 04/26/2013