| NPI | 1508261926 |
|---|---|
| Doing Business As | DIABETIC SHOES INC. |
| Entity Type | Organization |
| Authorized Contact | LIBAN ALI HASSAN President 612-208-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2018-10-05 |