Organization
ROBERTS SHOES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK S SIMON (PRESIDENT)
(612) 823-7229
Entity
Organization
Contact information
Practice address
740 E LAKE ST, MINNEAPOLIS, MN 55407-1547
(612) 823-7229
(612) 823-6750
Mailing address
740 E LAKE ST, MINNEAPOLIS, MN 55407-1547
(612) 823-7229
(612) 823-6750
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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