MR. John Mooney, CPO1410

NPI #1306387337 in Glendale, Wisconsin

Provider Information

NPI Number: 1306387337
Entity Type: Individual
Name: MR. John Mooney, CPO1410
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Prosthetist
Credential: CPO1410
Enumeration Date: Mar 9, 2017
Last Updated: Mar 9, 2017

Practice Location

Address: 2555 W KENBOERN DR
City: Glendale
State: Wisconsin
ZIP Code: 53209-1835
Phone: (414) 540-1202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X
Prosthetist	224P00000X	Primary

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