Organization
BRENNER ORTHOTIC & PROSTHETIC LABORATORIES INC
Active
Other names
MIchigan Institute For Electronic Limb Development
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL D BRENNER CPO FAAOP (PRESIDENT)
(248) 615-0601
Entity
Organization
Contact information
Practice address
32975 8 MILE RD, LIVONIA, MI 48152-1337
(248) 615-0601
(248) 615-0606
Mailing address
32975 8 MILE RD, LIVONIA, MI 48152-1337
(248) 615-0601
(248) 615-0606
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0461990001
—
MI
Enumeration date
03/10/2006
Last updated
08/22/2020
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