| NPI | 1013071422 |
|---|---|
| Doing Business As | MICHAELS SHOES |
| Entity Type | Organization |
| Authorized Contact | ROBERT ANTHONY FASBENDER Owner Shoe & Orthodic Fitter 712-792-3115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2008-07-17 |