| NPI | 1437552312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA BETHKE Owner, Secy/Treasurer 612-987-1729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MN BC003093) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |