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Organization

MARY FREE BED ORTHOTICS AND PROSTHETICS

Active
Other names
Mary Free Bed Brace and Corset Shop
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT TUCK CPO (COMPLIANCE DIRECTOR)
(616) 502-6488
Entity
Organization

Contact information

Practice address
550 MUNSON AVE STE M100A, TRAVERSE CITY, MI 49686-3580
(231) 715-4755
Mailing address
235 WEALTHY ST SE STE 1100, GRAND RAPIDS, MI 49503-5247
(616) 617-0538

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
06/12/2024
Last updated
11/13/2025
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