NPI Provider: 1962409482
Contact Name: Gustin L Brian
Position: President/Owner
Phone: (920) 435-3537
Wisconsin Prosthetics & Orthotics Inc Information:
Wisconsin Prosthetics & Orthotics Inc organization have npi 1962409482, taxonomy code is 335E00000X with license number is in . This Business address located in 1525 University Ave, Green Bay, WI 54302 Wisconsin.
Practice Location
Address: 1525 University Ave, Green Bay, WI 54302
Phone: (920) 435-3537
Business Location
Address: 1525 University Ave, Green Bay, WI 54302
Phone: (920) 435-3537
Fax: (920) 435-3545
Taxonomy
Taxonomy Code: 335E00000X
License Number:
License Number of State:
Primary Taxonomy Switch: Y
Enumeration Date: 6/30/2005
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