| NPI | 1487822706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM M NASETH Accounting 952-915-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 21645) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2010-08-10 |