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Organization
NORTHERN ORTHOTIC AND PROSTHETIC CENTER
Active
Organization
NORTHERN ORTHOTIC AND PROSTHETIC CENTER
Active
Parent organization
NORTHERN ORTHOTIC AND PROSTHETIC SERVICES CORPORATION
Other names
Northern Orthotic and Prosthetic Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHERN ORTHOTIC AND PROSTHETIC SERVICES CORPORATION
Authorized official
MR. GREGORY JOHN FRANCISCO BS,CO (ORTHOTIST/OWNER)
(218) 249-6250
Entity
Organization
Contact information
Practice address
1279 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-4208
(218) 301-0001
(218) 301-0044
Mailing address
1279 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-4208
(218) 301-0001
(218) 301-0044
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NULL
Other
Enumeration date
07/15/2014
Last updated
07/22/2014
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