Organization
GREAT LAKES PROSTHETICS & ORTHOTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J BUSCH CO (ORTHOTIST/OWNER)
(734) 528-5200
Entity
Organization
Contact information
Practice address
5315 ELLIOTT DR, SUITE 104, YPSILANTI, MI 48197-8634
(734) 528-5200
(734) 528-5260
Mailing address
5315 ELLIOTT DR, SUITE 104, YPSILANTI, MI 48197-8634
(734) 528-5200
(734) 528-5260
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
MI
Other
Enumeration date
08/24/2006
Last updated
10/25/2010
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