Organization
SMITTY'S SHOES INC.
Active
Other names
Lee's Department Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD LEE SMITH (PRES.)
(989) 356-0869
Entity
Organization
Contact information
Practice address
2382 US HIGHWAY 23 S, ALPENA, MI 49707-4546
(989) 356-0869
Mailing address
2382 US. 23 SOUTH, ALPENA, MI 49707-4546
(989) 356-0869
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
MI
Other
Enumeration date
10/11/2007
Last updated
06/10/2008
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