| NPI | 1588660252 |
|---|---|
| Doing Business As | DIABETIC AND COMFORT SHOES |
| Entity Type | Organization |
| Authorized Contact | CARIE LEE HARRIS President 218-625-2095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: MN 9584) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2008-04-29 |