| NPI | 1366443145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS MATTHEW JOKINEN Owner 952-854-6702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2016-12-09 |