Organization
PROSTHETIC ORTHOTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT KARL LOTZ CPO, FAAOP (PRESIDENT)
(715) 432-7787
Entity
Organization
Contact information
Practice address
2926 POST RD, STEVENS POINT, WI 54481-6417
(715) 544-4622
Mailing address
1108 S 17TH AVE, WAUSAU, WI 54401-5709
(715) 845-2800
(715) 845-2855
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41782800
—
WI
Enumeration date
10/06/2008
Last updated
12/01/2010
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