| Orthotic Wi Md | |
|
216 Green Bay Rd Thiensville WI 53092-1658 | |
| (414) 764-9550 | |
| (414) 435-3110 |
| Full Name | Orthotic Wi Md |
|---|---|
| Speciality | Clinic/center |
| Location | 216 Green Bay Rd, Thiensville, Wisconsin |
| Authorized Official Name and Position | Alexandra M Solano (CEO) |
| Authorized Official Contact | 4147649550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthotic Wi Md 216 Green Bay Rd Thiensville WI 53092-1658 Ph: (414) 764-9550 | Orthotic Wi Md 216 Green Bay Rd Thiensville WI 53092-1658 Ph: (414) 764-9550 |
| NPI Number | 1942780606 |
|---|---|
| Provider Enumeration Date | 08/21/2018 |
| Last Update Date | 01/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942780606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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