Shippy Shoe Store, INC

NPI #1700812245 in Stevens Point, Wisconsin

Provider Information

NPI Number: 1700812245
Entity Type: Organization
Organization Name: Shippy Shoe Store, INC
Primary Specialty: Specialist
Enumeration Date: Jun 25, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 5474 US HIGHWAY 10 E
Address 2: SUITE 6
City: Stevens Point
State: Wisconsin
ZIP Code: 54481-9115
Phone: (715) 344-6993

Authorized Official

Name: JAMES WILLIAM SHIPPY, CERTIFIED PEDORTHIST
Title: OWNER
Phone: (715) 344-6993

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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