GREAT LAKES ORTHOTICS & PROSTHETICS INC. NPI 1720023724

NPI Information

GREAT LAKES ORTHOTICS & PROSTHETICS INC. is a prosthetic orthotic supplier in Appleton, WI. 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. GREAT LAKES ORTHOTICS & PROSTHETICS INC. NPI is 1720023724. The provider is registered as an organization entity type.

The provider's business location address is:

3950 EVERGREEN CT STE A
APPLETON, WI
ZIP 54913-903
Phone: (920) 968-2240
Fax: (920) 968-2241

The provider's authorized official is Perry L Alger .
The authorized official title is President and has the following contact phone number (920) 968-2240.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 6/9/2021.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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