Organization
ADVANCE ORTHOTICS & PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MICHAEL ELLIS CPO (CHIEF MANAGER/PRACTITIONER)
(320) 762-2210
Entity
Organization
Contact information
Practice address
510 22ND AVE E, STE 801, ALEXANDRIA, MN 56308-4653
(320) 762-2210
(320) 762-2753
Mailing address
510 22ND AVE E, STE 801, ALEXANDRIA, MN 56308-4653
(320) 762-2210
(320) 762-2753
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/08/2008
Last updated
04/26/2013
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