| NPI | 1093809998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LOU GUNDERSON President 651-735-9192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 4971071) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |