NPI | 1871782557 |
---|---|
Doing Business As | LUEDDERS SHOE STORE |
Entity Type | Organization |
Authorized Contact | PATRICIA G. FOSDICK Owner 517-278-8646 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-10-18 |
Last Update Date | 2008-08-27 |