Organization
TWIN CITIES ORTHOTIC & PROSTHETIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE CARL HART CPO (PRES OWNER)
(269) 983-6118
Entity
Organization
Contact information
Practice address
709 MIDWAY AVE, SAINT JOSEPH, MI 49085-2438
(269) 983-6118
(269) 983-7577
Mailing address
709 MIDWAY AVE, SAINT JOSEPH, MI 49085-2438
(269) 983-6118
(269) 983-7577
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
225000000X
Orthotic Fitter
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2598
GREAT LAKES HEALTH
—
01
—
52539
NORTHWOOD
—
01
—
5955
HEALTH PLAN
MI
01
—
8231127
PHP
MI
Enumeration date
11/30/2005
Last updated
09/11/2025
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