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Orthotic & Prosthetic Health — NPI 1649386293, Detroit Lakes, MN | NPI Central

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NPI 1649386293

OrganizationActive

Orthotic & Prosthetic Health

NPI 1649386293 · Prosthetic/Orthotic Supplier · Detroit Lakes, MN

Provider details

NPI number: 1649386293
Entity type: Organization
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Authorized official: Robert Johansen, President
License: CO1105 (MN)

Practice location

214 Front St W

Detroit Lakes, MN 56501-3020

Phone: (218) 847-6767

Fax: (218) 847-7676

More MN providers

Mailing address

810 S Maple St

Watertown, SD 57201

Registry dates

Enumerated: 2006-08-23
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.