River Bend Shoe Center
NPI #1689811986 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1689811986
- Entity Type
- Organization
- Organization Name
- River Bend Shoe Center
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jan 8, 2009
- Last Updated
- Jan 8, 2009
Practice Location
- Address
- 7508 W OKLAHOMA AVE
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53219-2860
- Phone
- (414) 543-0400
Authorized Official
- Name
- ERIC GAWLITTA
- Title
- OWNER
- Phone
- (414) 543-0400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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