Organization
3D SCOLIOSIS BRACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD P WARREN DC (OWNER)
(574) 679-0100
Entity
Organization
Contact information
Practice address
5432 LINCOLNWAY E, OSCEOLA, IN 46561-1960
(574) 679-0100
(574) 675-9586
Mailing address
5432 LINCOLNWAY E, OSCEOLA, IN 46561-1960
(574) 679-0100
(574) 675-9586
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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