Organization
WEST MICHIGAN PEDORTHICS MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ROBERT YARRANTON PEDORTHIST ORTHOTIST (CEO)
(231) 739-4414
Entity
Organization
Contact information
Practice address
3324 GLADE ST, MUSKEGON, MI 49444-2708
(231) 739-4414
(231) 739-1094
Mailing address
3324 GLADE ST, MUSKEGON, MI 49444-2708
(231) 739-4414
(231) 739-1094
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/05/2007
Last updated
06/27/2012
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