| NPI | 1376530931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK SOSUNOV Owner 952-922-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 580059500) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2020-08-22 |