Organization · Type 2 NPI

Great Lakes Orthotics & Medical Supply, Inc.

Durable Medical Equipment & Medical Supplies · West Milwaukee, WI

NPI number 1770947897 Active

Practice location

1670 Miller Park Way
West Milwaukee, WI 53214-3604

Fax (262) 436-1711

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1770947897

Great Lakes Orthotics & Medical Supply, Inc.'s National Provider Identifier is 1770947897, issued on Apr 6, 2016. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in West Milwaukee, WI. The record was last updated on Aug 9, 2026.