# BUFFALO ORTHOTICS & PROSTHETICS, INC.

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

## Provider details

- **NPI number:** 1306953930
- **Authorized official:** DANNY BRUCE HUSOM C.PED., C.O., OST (ORTHOTIST/OWNER)
- **Authorized official phone:** (763) 684-1800

## Contact information

- **Practice address:** 112 1ST ST S, BUFFALO, MN 55313-1402
- **Practice address phone:** (763) 684-1800
- **Mailing address:** 112 1ST ST S, BUFFALO, MN 55313-1402
- **Mailing address phone:** (763) 684-1800

## Taxonomy

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

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 08/22/2020