Organization
STANS BOOTERY INC
Active
Other names
Stans Fit For Your Feet
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES J SAJDAK CPED (PRESIDENT)
(414) 464-1960
Entity
Organization
Contact information
Practice address
505 W SILVER SPRING DRIVE, GLENDALE, WI 53217
(414) 464-1930
(414) 755-0022
Mailing address
4001A W LOOMIS ROAD, GREENFIELD, WI 53221
(414) 464-1960
(414) 464-4383
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41625600
—
WI
Enumeration date
02/13/2007
Last updated
08/22/2020
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