| NPI | 1093933483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL L VIRNIG Optician 218-829-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 5794287) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |