SearchIndiana222Z00000X

Antonio Sergio, REG SHOE-MAKER MERCH

NPI 1437301074 · on the registry since 2008 · sole proprietor

Practice

Address
1508 Mishawaka Avenue
South Bend, IN 46615
Phone
(574) 246-9700

Registry record

Primary taxonomy
222Z00000X
222Z00000X
Also registered as
225000000X
Sex
Male
Record last updated
2008-10-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana