Organization
DIMITRI'S SHOE SERVICE,LLC
Active
Other names
Red Wing Shoes and Repair
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAUREEN GEORGEVICH LICENSED PEDORTHIST (ASSISTANT MANAGER)
(419) 893-8647
Entity
Organization
Contact information
Practice address
209 CONANT ST, MAUMEE, OH 43537-3355
(419) 893-8647
(419) 893-8694
Mailing address
209 CONANT ST, MAUMEE, OH 43537-3355
(419) 893-8647
(419) 893-8694
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OH
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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