Healthcare Provider Details

I. General information

NPI: 1063413680
Provider Name (Legal Business Name): OAKLAND ORTHOPEDIC APPLIANCES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2005
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 E MAIN ST
OWOSSO MI
48867-8000
US

IV. Provider business mailing address

515 MULHOLLAND ST
BAY CITY MI
48708-7644
US

V. Phone/Fax

Practice location:
  • Phone: 989-720-4437
  • Fax: 989-720-4436
Mailing address:
  • Phone: 989-893-7544
  • Fax: 989-893-6944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER L DRAVES
Title or Position: MANAGER
Credential:
Phone: 989-893-7544