Organization
MAGUIRE BOONSTRA INC
Active
Other names
Advanced Prosthetics Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF MADIGAN BOONSTRA CP (PRESIDENT/PROSTHETIST)
(605) 232-0066
Entity
Organization
Contact information
Practice address
355 W ANCHOR DR, DAKOTA DUNES, SD 57049-5357
(605) 232-0066
(605) 232-2066
Mailing address
355 W ANCHOR DR, DAKOTA DUNES, SD 57049-5357
(605) 232-0066
(605) 232-2066
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/15/2009
Last updated
01/03/2012
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