Sam's Shoe Repair

NPI #1760998512 in Marquette, Michigan

Provider Information

NPI Number: 1760998512
Entity Type: Organization
Organization Name: Sam's Shoe Repair
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Dec 15, 2017
Last Updated: Dec 15, 2017

Practice Location

Address: 304 N 3RD ST
City: Marquette
State: Michigan
ZIP Code: 49855-4224
Phone: (906) 226-9087

Authorized Official

Name: MR. SAM ROUMANIS
Title: OWNER
Phone: (906) 226-9087

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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