| NPI | 1497759864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY WATTERS General Mgr 218-727-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 5762874) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2016-07-07 |