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NPI Code Detail

MEDICARE: NORTHERN ORTHOTICS & PROSTHETICS

MEDICARE: NORTHERN ORTHOTICS & PROSTHETICS
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
1335E00000XProsthetic/Orthotic Supplier

General Provider Information

NPI Number : 1174874143
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHERN ORTHOTICS & PROSTHETICS
Provider Business Mailing Address
First Line : 1015 COMMERCE DR
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-8694
Country : US
Telephone Number : 906-273-2444
Fax Number : 906-353-7000
Provider Business Practice Location Address
First Line : 1015 COMMERCE DR
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-8694
Country : US
Telephone Number : 906-273-2444
Fax Number :
Authorized Official
Title or Position : CEO
Name : IVAN SABEL
Credential :
Telephone Number : 906-273-2444
Provider Enumeration Date : 10/01/2012
Last Update Date : 05/13/2026

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Directions to “NORTHERN ORTHOTICS & PROSTHETICS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.