Organization
NORTH METRO ORTHOTICS AND PROSTHETICS, INC
Active
Parent organization
NORTH METRO ORTHOTICS AND PROSTHETICS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH METRO ORTHOTICS AND PROSTHETICS, INC
Authorized official
JESSICA DEHAVEN (CORPORATE SECRETARY)
(763) 784-6647
Entity
Organization
Contact information
Practice address
3111 124TH AVE NW, SUITE 210, COON RAPIDS, MN 55433-4572
(763) 323-6921
(763) 323-6940
Mailing address
8290 UNIVERSITY AVE NE, SUITE 310, FRIDLEY, MN 55432-1847
(763) 784-6647
(763) 784-7747
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/30/2009
Last updated
01/28/2014
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