Organization
ADVANCED ORTHOPEDIC LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL C CLARK (SEC/TREASURER)
(248) 557-2323
Entity
Organization
Contact information
Practice address
24395 GREENFIELD RD, SOUTHFIELD, MI 48075-3118
(248) 557-2323
(248) 557-3639
Mailing address
24395 GREENFIELD RD, SOUTHFIELD, MI 48075-3118
(248) 557-2323
(248) 557-3639
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
MI
Other
Enumeration date
06/04/2006
Last updated
02/17/2011
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