| NPI | 1104094499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH SPERLING HECHTER Owner 763-546-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MN PC302) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2012-04-09 |