| NPI | 1508179649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY KORUM Payer Relations Manager 952-758-9299 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2023-08-02 |