GILLETTE CHILDREN'S SPECIALTY HEALTHCARE NPI 1477612604

NPI Information

GILLETTE CHILDREN'S SPECIALTY HEALTHCARE is a prosthetic orthotic supplier in Duluth, MN. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. GILLETTE CHILDREN'S SPECIALTY HEALTHCARE NPI is 1477612604. The provider is registered as an organization entity type.

The provider's business location address is:

1420 LONDON RD
DULUTH, MN
ZIP 55805-433
Phone: (218) 728-6160
Fax: (218) 724-6982

The provider's authorized official is Patrick Nolan .
The authorized official title is Cfo and has the following contact phone number (651) 312-3105.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 12/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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