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Organization

NORTHERN ORTHOTICS & PROSTHETICS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS PENFOLD CPO (PRESIDENT)
(906) 353-7161
Entity
Organization

Contact information

Practice address
20075 3RD ST, HANCOCK, MI 49930-9805
(906) 482-7733
Mailing address
509 S SUPERIOR AVE, BARAGA, MI 49908-9698
(906) 353-7161
(906) 353-7000

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
11/18/2010
Last updated
11/18/2010
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