| NPI | 1316385487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG LAWRENCE RATHJEN Owner 763-780-1300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN D8636) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |