SOLE SOURCE LLC YOUR DIABETIC SHOE STORE

Prosthetic/Orthotic Supplier

Active Organization
NPI: 1063778884

Practice Address

50 N HURON ST
Ypsilanti, MI 48197

Phone: (734) 340-9614

Specialties

Specialty Code Primary License
Prosthetic/Orthotic Supplier 335E00000X Yes -

Frequently Asked Questions

NPI 1063778884 is the National Provider Identifier for SOLE SOURCE LLC YOUR DIABETIC SHOE STORE, a Prosthetic/Orthotic Supplier provider located in Ypsilanti, MI. This NPI was enumerated on April 5, 2012.

Quick Facts

NPI
1063778884
Type
Organization
Enumerated
Apr 5, 2012
Last Updated
May 22, 2012

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