Provider Demographics
NPI:1184853954
Name:OAKLAND ORTHOPEDIC APPLIANCES INC
Entity type:Organization
Organization Name:OAKLAND ORTHOPEDIC APPLIANCES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:DRAVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-893-7544
Mailing Address - Street 1:515 MULHOLLAND ST
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-7644
Mailing Address - Country:US
Mailing Address - Phone:989-893-7544
Mailing Address - Fax:989-893-6944
Practice Address - Street 1:444 W BALDWIN ST
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-3126
Practice Address - Country:US
Practice Address - Phone:989-278-3221
Practice Address - Fax:989-625-1319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-14
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0628060007Medicare PIN