Antonio Mario Sergio SR. REG SHOE-MAKER MERCH

NPI 1437301074 - Orthotic Fitter - 225000000X

NPI Details
NPI 1437301074
Gender Male
Enumeration Date 10/15/2008
Last Updated 10/15/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1508 MISHAWAKA AVENUE
SOUTH BEND IN, 46615-1426, US
Phone (574) 246-9700
Fax
Business Location
1508 MISHAWAKA AVENUE
SOUTH BEND IN, 46615-1426, US
Phone (574) 246-9700
Fax
Toxanomy
Taxonomy Code 225000000X
License State
License Number
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According to our database, Mr. Antonio Mario Sergio SR. REG SHOE-MAKER MERCH NPI is 1437301074, taxonomy code is 225000000X Antonio Mario Sergio SR. REG SHOE-MAKER MERCH physically located at 1508 Mishawaka Avenue, South Bend IN, 46615-1426. NPI Number Antonio Mario Sergio SR. REG SHOE-MAKER MERCH has the Individual type.

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1437301074 NPI number is provided on an as is basis without warranty of any kind. 1437301074 is maintained by the National Plan & Provider Enumeration System. The contents of Antonio Mario Sergio SR. REG SHOE-MAKER MERCH are for informational purposes only.