Organization
FOOT CARE INC
Active
Other names
The Cobbler Shop Shoes and Pedorthics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN W BROWN CERTIFIED PEDORTHIST (PRESIDENT)
(989) 463-2300
Entity
Organization
Contact information
Practice address
115 E SUPERIOR STREET, ALMA, MI 48801
(989) 463-2300
Mailing address
115 E SUPERIOR STREET, ALMA, MI 48801
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540B90270
BCBS
—
Enumeration date
05/03/2007
Last updated
01/07/2008
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