Organization
INLAND SHOES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CASEY WILLIAM BUSCH (OWNER)
(605) 360-4371
Entity
Organization
Contact information
Practice address
1300 W EMPIRE MALL, SIOUX FALLS, SD 57106-6517
(605) 274-9006
(605) 274-9006
Mailing address
1300 W. EMPIRE MALL, SIOUX FALLS, SD 57106
(605) 274-9006
(605) 274-9006
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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