Healthcare Provider Details

I. General information

NPI: 1851397681
Provider Name (Legal Business Name): WRIGHT BRACE AND LIMB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 05/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 COURT ST STE 102
WEST BRANCH MI
48661-9390
US

IV. Provider business mailing address

611 COURT ST STE 102
WEST BRANCH MI
48661-9390
US

V. Phone/Fax

Practice location:
  • Phone: 989-343-0300
  • Fax: 989-343-9771
Mailing address:
  • Phone: 989-343-0300
  • Fax: 989-343-9771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JOSEPH M WRIGHT
Title or Position: OWNER, CERTIFIED PRACTIONER
Credential: C.P.O.
Phone: 989-343-0300