| NPI | 1447560057 |
|---|---|
| Doing Business As | FOREST LAKE MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | JOEL ROBERT ERICKSON Owner 651-982-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2018-10-20 |