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Organization
MIDWEST BRACE & LIMB INC
Active
Organization
MIDWEST BRACE & LIMB INC
Active
Parent organization
MIDWEST BRACE & LIMB INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST BRACE & LIMB INC
Authorized official
DOUGLAS MULLIN (OWNER)
(765) 447-6323
Entity
Organization
Contact information
Practice address
3802 AMELIA AVE, SUITE B, LAFAYETTE, IN 47905-5772
(765) 447-6323
(765) 446-1575
Mailing address
3802 AMELIA AVE, SUITE B, LAFAYETTE, IN 47905-5772
(765) 447-6323
(765) 446-1575
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
IN
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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