Organization
NORTH OTTAWA ORTHOTICS AND PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD MICHAEL LUNSFORD CO (CERTIFIED ORTHOTIST/ MANAGER)
(616) 847-5365
Entity
Organization
Contact information
Practice address
1309 SHELDON RD, ORTHOTICS DEPT., GRAND HAVEN, MI 49417-2404
(616) 847-5365
(616) 847-5294
Mailing address
1309 SHELDON RD, ORTHOTICS DEPT., GRAND HAVEN, MI 49417-2404
(616) 847-5365
(616) 847-5294
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CO2816
IL
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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