MR. John Martin Fidler, OWNER OF SHOE STORE

NPI #1164542437 in Gettysburg, Pennsylvania

Provider Information

NPI Number
1164542437
Entity Type
Individual
Name
MR. John Martin Fidler, OWNER OF SHOE STORE
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Prosthetic/Orthotic Supplier
Credential
OWNER OF SHOE STORE
Enumeration Date
Mar 30, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
26 BALTIMORE ST
ZIP Code
17325
Phone
(717) 334-1810

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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