Organization
AMERICAN PROSTHETIC INSTITUTE
Active
Other names
Stokosa Prosthetic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JAN J. STOKOSA CP (PRESIDENT)
(517) 349-3130
Entity
Organization
Contact information
Practice address
2145 UNIVERSITY PARK DR, SUITE 100, OKEMOS, MI 48864-3982
(517) 349-3130
(517) 349-8887
Mailing address
2145 UNIVERSITY PARK DR, SUITE 100, OKEMOS, MI 48864-3982
(517) 349-3130
(517) 349-8887
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
P1109
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C30389
BCBS MI ID
MI
Enumeration date
09/23/2005
Last updated
08/22/2020
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