| NPI | 1255596201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MCALLISTER President 952-935-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 2227423) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2010-05-27 |