NPI | 1922331420 |
---|---|
Doing Business As | ADVANCED PROSTHETICS CENTER |
Entity Type | Organization |
Authorized Contact | JEFF MADIGAN BOONSTRA President/Prosthetist 605-232-0066 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2009-09-15 |
Last Update Date | 2012-01-03 |