Organization
GREATER FLINT PROSTHETIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REX WINDSOR MILLER C.P. (PRESIDENT)
(810) 720-2555
Entity
Organization
Contact information
Practice address
2255 S LINDEN RD, FLINT, MI 48532-5417
(810) 720-2555
(810) 720-2551
Mailing address
2255 S LINDEN RD, FLINT, MI 48532-5417
(810) 720-2555
(810) 720-2551
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4264132
—
MI
01
—
85OB50516
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/25/2007
Last updated
07/25/2007
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