| NPI | 1124134705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL RABIDEAUX Director Of Finance 218-742-8662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2008-03-31 |