Dimitri'S Shoe Service,llc
Durable Medical Equipment & Medical Supplies in Maumee, OH. Organization (NPI-2).
NPI number1619089992
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1619089992
- Entity type
- Organization (NPI-2)
- Legal business name
- Dimitri'S Shoe Service,llc
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | OH | Yes |
Other names
- Red Wing Shoes And Repair (Doing Business As)
Practice location
209 Conant StMaumee, OH 43537-3355
Phone 419-893-8647 · Fax 419-893-8694
Mailing address
209 Conant StMaumee, OH 43537-3355
Phone 419-893-8647 · Fax 419-893-8694
Authorized official
Maureen Georgevich
Assistant Manager
4198938647
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All 23 Durable Medical Equipment & Medical Supplies providers in Maumee · All 1,480 providers in Maumee
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