Organization
MR. VAN'S SHOE REPAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD HEISER (OWNER)
(989) 790-1550
Entity
Organization
Contact information
Practice address
4650 STATE ST, SAGINAW, MI 48603-3898
(989) 790-1550
Mailing address
4650 STATE ST, SAGINAW, MI 48603-3898
(989) 790-1550
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/01/2006
Last updated
08/22/2020
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