NPI 1003126400

Fs Grand Rapids South, LLC

Organisation Prosthetic/Orthotic Supplier Grand Rapids, MI

Practice location

Address: 6750 Kalamazoo Ave SE Suite E, Grand Rapids, MI 49508-7897
Phone: (616) 698-7200
Fax: (616) 698-7212

Authorised official

Name: Robert L Skinner
Title: Owner
Phone: (616) 698-7200

Registered specialties (2)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence CPED3413 (MI)

Other Prosthetic/Orthotic Supplier providers in Michigan →

Prosthetic/Orthotic Supplier

Suppliers Taxonomy 335E00000X Licence CPED3429 (MI)

Registry record

NPI: 1003126400
Entity type: Organization
NPI issued: 19 Oct 2010
Record last updated: 19 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.