Organization
NORTHERN ORTHOTICS & PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN SABEL (CEO)
(906) 273-2444
Entity
Organization
Contact information
Practice address
509 S SUPERIOR AVE, BARAGA, MI 49908-9698
(906) 353-7161
(906) 353-7000
Mailing address
509 S SUPERIOR AVE, BARAGA, MI 49908-9698
(906) 353-7161
(906) 353-7000
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5090909
—
MI
01
—
5302Z702540
MI BLUE CROSS
MI
Enumeration date
03/16/2006
Last updated
05/12/2026
Update your record
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