Organization
SPARTAN ORTHOTICS AND PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN WOOLCOCK CPO (PRESIDENT/OWNER)
(517) 220-4960
Entity
Organization
Contact information
Practice address
2947 EYDE PKWY, SUITE 100, EAST LANSING, MI 48823-5373
(517) 220-4960
(517) 220-4962
Mailing address
2947 EYDE PKWY, SUITE 100, EAST LANSING, MI 48823-5373
(517) 220-4960
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/29/2015
Last updated
12/22/2020
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