Organization
SELECT ORTHOPEDIC SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACHARY MATTHEW OSTROWSKI C-PED (CERTIFIED PEDORTHIST/ OWNER)
(269) 629-4853
Entity
Organization
Contact information
Practice address
8589 GULL RD, STE 2, RICHLAND, MI 49083
(269) 629-4853
(269) 629-5085
Mailing address
8589 GULL RD, STE 2, RICHLAND, MI 49083
(269) 629-4853
(269) 629-5085
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPED3724
MI
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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