Mr. Antonio Mario Sergio Sr., REGSHOE-MAKERMERCH
Mr. Antonio Mario Sergio Sr., REGSHOE-MAKERMERCH is an Orthotist in South Bend, Indiana. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
1508 Mishawaka AveSouth Bend, IN 46615-1426
Phone: (574) 246-9700
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Specialties & licences
| Orthotist (primary) | Taxonomy 222Z00000X |
|---|---|
| Orthotic Fitter | Taxonomy 225000000X |
Record details
| NPI number | 1437301074 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | REGSHOE-MAKERMERCH |
| Sole proprietor | Yes |
| NPI enumerated | October 15, 2008 |
| Last updated in NPPES | October 15, 2008 |
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