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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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