| NPI | 1861618803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JOHN KUIPER Certified Pedorthist 616-392-1749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2022-07-21 |