MR. ANTONIO SERGIO SR., REG SHOE-MAKER MERCH

Orthotist

Active Individual
NPI: 1437301074

Practice Address

1508 MISHAWAKA AVENUE
South Bend, IN 46615

Phone: (574) 246-9700

Specialties

Specialty Code Primary License
Orthotist 222Z00000X Yes -
Orthotic Fitter 225000000X No -

Frequently Asked Questions

NPI 1437301074 is the National Provider Identifier for MR. ANTONIO SERGIO SR., REG SHOE-MAKER MERCH, a Orthotist provider located in South Bend, IN. This NPI was enumerated on October 15, 2008.
MR. ANTONIO SERGIO SR., REG SHOE-MAKER MERCH practices at 1508 MISHAWAKA AVENUE, South Bend, IN 46615.

Quick Facts

NPI
1437301074
Type
Individual
Enumerated
Oct 15, 2008
Last Updated
Oct 15, 2008

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