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

General Provider Information

NPI Number	:	1235130865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAKLAND ORTHOPEDIC APPLIANCES INC

Provider Business Mailing Address
First Line	:	515 MULHOLLAND ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-7644
Country	:	US
Telephone Number	:	989-893-7544
Fax Number	:	989-893-6944

Provider Business Practice Location Address
First Line	:	1117 S VAN DYKE RD STE 100
Second Line	:
City	:	BAD AXE
State	:	MI
Zip	:	48413-8467
Country	:	US
Telephone Number	:	989-623-0931
Fax Number	:	989-623-0932

Authorized Official
Title or Position	:	OFFICE 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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