Organization
PROSTHETIC LABORATORIES OF ROCHESTER INC
Active
Parent organization
GMS OF ROCHESTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GMS OF ROCHESTER, INC
Authorized official
MR. BRIAN GREEN (CEO)
(507) 281-5250
Entity
Organization
Contact information
Practice address
2829 POST RD, STEVENS POINT, WI 54481-6416
(715) 344-9328
(715) 344-9385
Mailing address
2829 POST RD, STEVENS POINT, WI 54481-6416
(715) 344-9328
(715) 344-9385
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41790800
—
WI
Enumeration date
11/01/2005
Last updated
07/03/2012
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