Diabetic Shoe Source

NPI #1003960147 in Eagan, Minnesota

Provider Information

NPI Number
1003960147
Entity Type
Organization
Organization Name
Diabetic Shoe Source
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jan 23, 2007
Last Updated
Oct 21, 2021

Practice Location

Address
2121 CLIFF DR STE 118
City
Eagan
ZIP Code
55122-3431
Phone
(763) 757-8086

Authorized Official

Name
AMY LUZAICH, CFTS
Title
PRESIDENT
Phone
(763) 757-8086

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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