Organization
WISCONSIN PROSTHETICS & ORTHOTICS INC
Active
Other names
NovaCare Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E. TARVIN (VP & SECRETARY)
(717) 972-1100
Entity
Organization
Contact information
Practice address
1845 VELP AVE, STE A, GREEN BAY, WI 54303-6594
(920) 435-3537
(920) 435-3545
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41791900
—
WI
Enumeration date
06/30/2005
Last updated
03/08/2017
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