MEDICARE: OAKLAND ORTHOPEDIC APPLIANCES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	52538	OTHER	MI	NPN NORTHWOOD
2	5190251	OTHER	MI	HEALTH PLUS OF MICHIGAN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	647	OTHER	MI	NORTHWOOD
5	52538	OTHER	MI	ABP ADMINISTRATION
6	530Z902510	OTHER	MI	BCBS OF MICHIGAN

General Provider Information

NPI Number	:	1093716615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAKLAND ORTHOPEDIC APPLIANCES INC

Provider Business Mailing Address
First Line	:	515 MUHOLLAND ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708
Country	:	US
Telephone Number	:	989-893-7544
Fax Number	:	989-893-6944

Provider Business Practice Location Address
First Line	:	515 MUHOLLAND ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708
Country	:	US
Telephone Number	:	989-893-7544
Fax Number	:	989-893-6944

Authorized Official
Title or Position	:	MANAGER
Name	:	JENNIFER L DRAVES
Credential	:
Telephone Number	:	989-893-7544

Provider Enumeration Date	:	08/04/2005
Last Update Date	:	07/01/2021

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Directions to “OAKLAND ORTHOPEDIC APPLIANCES INC ” Practice Location

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