| NPI | 1962678714 |
|---|---|
| Doing Business As | THE COBBLER SHOP SHOES AND PEDORTHICS |
| Entity Type | Organization |
| Authorized Contact | KEVIN WILLIAM BROWN Certified Pedorthist 989-775-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |