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WOLVERINE ORTHOTICS INC. NPI 1013938455


NPI Information

NPI: 1013938455
Provider Name: WOLVERINE ORTHOTICS, INC.
Classification: Orthotist - 222Z00000X
Entity Type: Organization
Address:
28455 HAGGERTY RD
101
NOVI, MI
ZIP 48377
Phone: (248) 324-3010
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WOLVERINE ORTHOTICS, INC. is an orthotist in Novi, MI. The provider is a health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. WOLVERINE ORTHOTICS, INC. NPI is 1013938455. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

28455 HAGGERTY RD
101
NOVI, MI
ZIP 48377-982
Phone: (248) 324-3010
Fax: (248) 324-3003

The provider's authorized official is Ernst Walter Bastian .
The authorized official title is President and has the following contact phone number (248) 324-3010.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 12/20/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1222Z00000XOrthotistYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11048290001MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
2853203750MEDICAIDMICHIGAN
3510F312100OTHERMICHIGANBCBSM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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