Organization
BECKER ORTHOPEDIC APPLIANCE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY PIGGOTT (BUSINESS MANAGER)
(248) 588-7480
Entity
Organization
Contact information
Practice address
2799 W GRAND BLVD, SUITE E-1225, DETROIT, MI 48202-2608
(313) 916-2201
(313) 916-9491
Mailing address
635 EXECUTIVE DR, TROY, MI 48083-4536
(248) 588-7480
(248) 588-6961
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4379918
—
MI
Enumeration date
05/11/2006
Last updated
04/02/2015
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