LAND OF LAKES ORTHOTICS & PROSTHETICS

PLYMOUTH, MN
NPI1790787216
Entity TypeOrganization
Authorized ContactCLARK V POULSON
Prosthetist Orthotist
952-745-3004
Organization Subpart ?No
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2005-08-15
Last Update Date2011-05-26
Business Address
LAND OF LAKES ORTHOTICS & PROSTHETICS
14395 23RD AVE N
PLYMOUTH, MN 55447-4704
Phone number: 952-745-3004
Mailing Address
LAND OF LAKES ORTHOTICS & PROSTHETICS
14395 23RD AVE N
PLYMOUTH, MN 55447-4704
Phone number: 952-745-3004
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