Organization
MOBILE PROSTHETICS OF MICHIGAN CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY G COOK CERTIFIED PROSTHESIS (OWNER/PRESTIDENT/CERT. PROSTHESIS)
(989) 875-7000
Entity
Organization
Contact information
Practice address
1326 E CENTER ST STE 2, ITHACA, MI 48847-1619
(989) 875-7000
(989) 875-7007
Mailing address
1326 E CENTER ST STE 2, ITHACA, MI 48847-1619
(989) 875-7000
(989) 875-7007
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/21/2010
Last updated
07/02/2010
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