NPI 1689811986

River Bend Shoe Center

Organisation Prosthetic/Orthotic Supplier West Allis, WI

Practice location

Address: 7508 W Oklahoma Ave, West Allis, WI 53219-2860
Phone: (414) 543-0400

Authorised official

Name: Eric Gawlitta
Title: Owner
Phone: (414) 543-0400

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 004000037355701 (WI)

Other Prosthetic/Orthotic Supplier providers in Wisconsin →

Registry record

NPI: 1689811986
Entity type: Organization
NPI issued: 8 Jan 2009
Record last updated: 8 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.