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Organization

APOLLO LIMB & BRACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN LAMBERT BOCO (ORTHOTIST)
(248) 499-8719
Entity
Organization

Contact information

Practice address
2721 UNIVERSITY DR, AUBURN HILLS, MI 48326-2542
(248) 499-8719
(248) 499-8713
Mailing address
2721 UNIVERSITY DR, AUBURN HILLS, MI 48326-2542
(248) 499-8719
(248) 499-8713

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
C26313
MI
335E00000X
Prosthetic/Orthotic Supplier
Primary
CP002840
MI

Other

Enumeration date
08/23/2010
Last updated
04/16/2012
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