| NPI | 1104004506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDETTE VIOLA NORDBY Patient Accounts Manager 952-915-8324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 26306) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2010-08-10 |