| NPI | 1144749862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN D BREY Supervisor/Delegated Official 952-993-6832 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 6019472) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2024-11-07 |