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Individual

JOHN PAUL REINHOLZ SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 DANNENBURG RD, REINHOLZ CUSTOM FOOTWEAR, MOLT, MT 59057-2244
(406) 669-3222
Mailing address
100 DANNENBURG RD, REINHOLZ CUSTOM FOOTWEAR, MOLT, MT 59057-2244
(406) 669-3222

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5601942
MT
Enumeration date
11/02/2006
Last updated
06/19/2009
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