Organization
PROS-TECH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH E GIRARDOT C.P. (CERTIFIED PRACTIONER/TREASUER)
(248) 680-2800
Entity
Organization
Contact information
Practice address
1717 STEPHENSON HWY, TROY, MI 48083-2149
(248) 680-2800
(248) 680-2804
Mailing address
1717 STEPHENSON HWY, TROY, MI 48083-2149
(248) 680-2800
(248) 680-2804
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
B ME-0133255
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1959066
—
MI
Enumeration date
05/24/2006
Last updated
04/21/2010
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