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Vagabond Shoes, Inc.
Prosthetic/Orthotic Supplier in Green Bay, Wisconsin
NPI 1356441950

Vagabond Shoes, Inc. is a Prosthetic/Orthotic Supplier based in Green Bay, WI. Vagabond Shoes, Inc. practices in Green Bay, WI. The NPI Number for Vagabond Shoes, Inc. is 1356441950 and holds a License No. (Wisconsin).

The current practice location address for Vagabond Shoes, Inc. is 635 Bay Park Sq, Green Bay, WI and can be reached out via phone at 920-606-0163 and via fax at 920-498-2429.

Location: 635 Bay Park Sq, Green Bay, WI, 54304-5101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356441950
Provider Name
Vagabond Shoes, Inc.
Credential
Provider Entity Type
Organization
Address
635 Bay Park Sq, Green Bay, WI, 54304-5101
Phone Number
920-606-0163
Fax Number
920-498-2429
Provider Enumeration Date
09/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
635 Bay Park Sq
City
Green Bay
State
Wisconsin
Zip
54304-5101
Phone Number
920-606-0163
Fax Number
920-498-2429
person
Provider Business Mailing Address Details
Address
635 Bay Park Sq
City
Green Bay
State
Wisconsin
Zip
54304-5101
Phone Number
920-606-0163
Fax Number
920-498-2429
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(Wisconsin)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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