Organization
MACINOS COMFORT SHOES AND ORTHOTICS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY WILLIAM MACINO (OWNER)
(419) 475-3996
Entity
Organization
Contact information
Practice address
3140 W SYLVANIA AVE, TOLEDO, OH 43613-4133
(419) 475-3996
(419) 475-3644
Mailing address
3140 W SYLVANIA AVE, TOLEDO, OH 43613-4133
(419) 475-3996
(419) 475-3644
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2638186
—
OH
Enumeration date
12/06/2006
Last updated
08/26/2015
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