Organization
GREAT LAKES ORTHOTICS AND PROSTHETICS
Active
Other names
Great lakes O and P
Organization subpart
No
Provider details
NPI number
Authorized official
TYNESHIA L MCFARLAND-WILLIAMS (EMPLOYEE)
(601) 594-2801
Entity
Organization
Contact information
Practice address
2351 STONEBRIDGE DR, FLINT, MI 48532-5407
(601) 594-2801
Mailing address
3124 ELK CREEK DR, SWARTZ CREEK, MI 48473-8630
(601) 594-2801
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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