Pink Ribbon Mastectomy Boutique is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Wausau, Wisconsin. It is situated at 1108 S 17th Ave, Wausau and its contact number is 715-845-2800. The authorized person of Pink Ribbon Mastectomy Boutique is Elizabeth Ruth Lotz
who is Owner/ V.p. of the store and his/her contact number is 715-845-2800. Pink Ribbon Mastectomy Boutique is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Center Profile:
Pink Ribbon Mastectomy Boutique Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Elizabeth Ruth Lotz
Position:
Owner/ V.p.
Contact Number:
715-845-2800
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Pink Ribbon Mastectomy Boutique center are as mentioned below.
NPI Number:
1801907217
NPI Enumeration Date:
31 Aug, 2006
NPI Last Update On:
10 Jul, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pink Ribbon Mastectomy Boutique are as mentioned below.
Specialization
License Number
State
Status
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
41782800
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Pink Ribbon Mastectomy Boutique 1108 S 17th Ave, Wausau, Wisconsin
Zip:
54401-5709
Phone Number:
715-845-2800
Fax Number:
715-845-2855
Patients can reach Pink Ribbon Mastectomy Boutique at 1108 S 17th Ave, Wausau, Wisconsin or can call to book an appointment on 715-845-2800. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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