Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Orthotics & Prosthetics Inc

Organization Prosthetic/Orthotic Supplier · NPI 1720023724

Great Lakes Orthotics & Prosthetics Inc is a Prosthetic/Orthotic Supplier in Appleton, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3950 Evergreen Ct Ste A
Appleton, WI 54913-8903
Phone: (920) 968-2240
Fax: (920) 968-2241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1720023724
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Perry Alger — President · (920) 968-2240
NPI enumeratedJune 17, 2006
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021
Mailing address3950 Evergreen Ct Ste A, Appleton, WI 54913-8903

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