Organization
BECKER ORTHOPEDIC APPLIANCE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J TOUSCANY (BUSINESS MANAGER)
(248) 588-7480
Entity
Organization
Contact information
Practice address
19251 MACK AVE, SUITE 180, GROSSE POINTE WOODS, MI 48236-2893
(313) 640-7750
(313) 640-7721
Mailing address
PO BOX 4840, TROY, MI 48099-4840
(248) 588-7480
(248) 588-6961
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100106
CARE CHOICES PROVIDER #
MI
05
—
4370206
—
MI
01
—
58003
NPN PROVIDER NUMBER
MI
Enumeration date
05/11/2006
Last updated
04/02/2008
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