NPI | 1619089992 |
---|---|
Doing Business As | RED WING SHOES AND REPAIR |
Entity Type | Organization |
Authorized Contact | MAUREEN GEORGEVICH Assistant Manager 419-893-8647 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |