Organization
ADVANCED PROSTHETIC SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON MANIERE CP, RRT (CEO)
(586) 921-4330
Entity
Organization
Contact information
Practice address
2425 S LINDEN RD, FLINT, MI 48532-5473
(586) 921-4330
Mailing address
2425 S LINDEN RD STE B, FLINT, MI 48532-5474
(586) 921-4330
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004074
ABC
—
Enumeration date
03/24/2022
Last updated
04/17/2023
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