Organization
BIONIC PROSTHETICS AND ORTHOTICS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUMESH SAXENA C.P., BOCO (PRESIDENT)
(219) 791-9200
Entity
Organization
Contact information
Practice address
1101 GLENDALE BLVD STE 105, VALPARAISO, IN 46383-3769
(219) 791-9200
(219) 979-6775
Mailing address
8695 CONNECTICUT ST STE E, MERRILLVILLE, IN 46410-6240
(219) 791-9200
(219) 979-6775
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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