| NPI | 1275894966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LEE CARLSON President 612-418-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |