Peterson Shoe INC
NPI #1639235088 in Anoka, Minnesota
Provider Information
- NPI Number
- 1639235088
- Entity Type
- Organization
- Organization Name
- Peterson Shoe INC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Dec 29, 2006
- Last Updated
- Apr 8, 2008
Practice Location
Authorized Official
- Name
- MRS. MICHELLE MARIE PURTLE-SMITH
- Title
- MANAGER
- Phone
- (763) 421-3433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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