Organization
OTTOBOCK MEDICALCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON CLARK (MANAGER)
(763) 253-5679
Entity
Organization
Contact information
Practice address
14800 28TH AVE N, SUITE 110-A, MINNEAPOLIS, MN 55447-4873
(800) 328-4058
(763) 253-5779
Mailing address
2 CARLSON PKWY N, SUITE 100, MINNEAPOLIS, MN 55447-4466
(763) 253-5679
(763) 253-5779
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
06/13/2013
Last updated
07/15/2014
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