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Organization

BECKER ORTHOPEDIC APPLIANCE COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM J TOUSCANY (BUSINESS MANAGER)
(248) 588-7480
Entity
Organization

Contact information

Practice address
1729 E 14 MILE RD, SUITE 250, TROY, MI 48083-4601
(248) 583-9811
(248) 583-9661
Mailing address
PO BOX 4840, TROY, MI 48099-4840
(248) 588-7480
(248) 588-6961

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100106
CARE CHOICES PROVIDER #
MI
05
4374279
MI
01
58004
NPN PROVIDER NUMBER
MI
Enumeration date
05/09/2006
Last updated
04/02/2008
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