Organization
FARRELL PROSTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS MICHAEL FARRELL CP (OWNER)
(414) 259-1950
Entity
Organization
Contact information
Practice address
1011 N MAYFAIR RD, SUITE 100, WAUWATOSA, WI 53226-3431
(414) 259-1950
(414) 259-1533
Mailing address
1011 N MAYFAIR RD, SUITE 100, WAUWATOSA, WI 53226-3431
(414) 259-1950
(414) 259-1533
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41788400
—
WI
Enumeration date
12/14/2005
Last updated
08/02/2011
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