NPI 1073065298

Language of Hair

Organisation Prosthetic/Orthotic Supplier Duluth, MN

Practice location

Address: 1615 London Rd, Duluth, MN 55812-1620
Phone: (218) 728-5111

Authorised official

Name: Fay Ann Kuettel
Title: President
Phone: (218) 728-5111

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1073065298
Entity type: Organization
NPI issued: 4 Nov 2016
Record last updated: 4 Nov 2016

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.