| NPI | 1083933642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CONRAD CARLSON M.D., Owner, President 952-428-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 1123) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-05-21 |