# PROTEZ FOUNDATION

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

## Provider details

- **NPI number:** 1881409951
- **Authorized official:** YAKOV GRADINAR (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (612) 772-4777

## Contact information

- **Practice address:** 3510 HOPKINS PL N, OAKDALE, MN 55128-7578
- **Practice address phone:** (612) 772-4777
- **Mailing address:** 3510 HOPKINS PL N, OAKDALE, MN 55128-7578
- **Mailing address phone:** (612) 772-4777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0900X | Amputee Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 02/07/2025
- **Last updated:** 11/01/2025