| NPI | 1669055109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER SUTTER Manager 219-381-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 224L00000X Pedorthist |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2024-11-11 |