Dales Bootery LLC
NPI #1720267073 in Whitewater, Wisconsin
Provider Information
- NPI Number
- 1720267073
- Entity Type
- Organization
- Organization Name
- Dales Bootery LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Nov 2, 2007
- Last Updated
- Apr 7, 2009
Practice Location
- Address
- 155 W MAIN ST
- City
- Whitewater
- State
- Wisconsin
- ZIP Code
- 53190-1903
- Phone
- (262) 473-4093
Authorized Official
- Name
- ROBERT JOSEPH HEROLD
- Title
- MANAGING MEMBER
- Phone
- (262) 473-4093
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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