| NPI | 1164207460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE JONES-BURGE Cranial Prosthesis Specialist 612-386-7321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |