| NPI | 1417776873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHON SONDERGAARD Owner 612-474-1727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-31 |