Organization
MILETTI'S SHOE & LAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY ROBERT SCHEIBER C. PED./L. PED. (OWNER/PRESIDENT)
(419) 447-1981
Entity
Organization
Contact information
Practice address
390 W MARKET ST, SUITE 1, TIFFIN, OH 44883-2608
(419) 447-1981
Mailing address
390 W MARKET ST, SUITE 1, TIFFIN, OH 44883-2608
(419) 447-1981
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
7412620
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2154074
—
OH
Enumeration date
02/19/2008
Last updated
04/29/2008
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