| NPI | 1053759878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRUCE STORY Secretary 763-315-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |