Organization
KOCHS ORTHOTIC AND PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCELLO GIRAO CO-PED (OWNER)
(734) 723-5452
Entity
Organization
Contact information
Practice address
30021 GREENFIELD RD, SUITE 200, SOUTHFIELD, MI 48076-1524
(248) 723-5452
(248) 723-5495
Mailing address
30021 GREENFIELD RD, SUITE 200, SOUTHFIELD, MI 48076-1524
(248) 723-5452
(248) 723-5495
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100122
CARE CHOICES
MI
01
—
P43246
BLUE CARE NETWORK
MI
Enumeration date
12/29/2006
Last updated
08/22/2020
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