Organization
TANDEM ORTHOTICS AND PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA M SCHOONMAKER CPO (OWNER)
(320) 252-9211
Entity
Organization
Contact information
Practice address
2380 TROOP DR, SUITE 204, SARTELL, MN 56377-4636
(320) 252-9211
(320) 252-9244
Mailing address
PO BOX 297, SARTELL, MN 56377-0297
(320) 252-9211
(320) 252-9244
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03G40TA
BCBS
MN
01
—
1019369
PREFERRED ONE
MN
01
—
151142
U-CARE
MN
05
—
4732197-00
—
MN
01
—
56521
HEALTH PARTNERS
MN
01
—
60054
AETNA
MN
01
—
82-14551
MEDICA
MN
Enumeration date
10/23/2006
Last updated
08/12/2021
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