| NPI | 1043197163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX JOHN Billing Manager 612-685-5359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-10-27 |