Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANTONIO MARIO SERGIO SR., REG SHOE-MAKER MERCH
Active Sole ProprietorMR. ANTONIO MARIO SERGIO SR., REG SHOE-MAKER MERCH is a Orthotist healthcare provider located in SOUTH BEND, Indiana. NPI 1437301074 is currently active in the NPPES registry. Verify at CMS.
Orthotist · SOUTH BEND, IN
Registration Details
- NPI Number
- 1437301074
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 15, 2008 (17.841379567975 yrs)
- Last Updated
- Oct 15, 2008
- Sole Proprietor
- Yes
Practice Information
- Address
-
1508 MISHAWAKA AVENUESOUTH BEND, IN, 466151426Browse IN providers · Browse ZIP 46615
- Phone
- 5742469700
- Primary Specialty
-
Orthotist
222Z00000X
- Additional Specialty
- Physical Therapist
Other Orthotist Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| MR. ADAM LEE WAUGH | MPO, CO | 1487176293 |
| ERIC SCHOPMEYER | CO | 1598289654 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.