| NPI | 1548027055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMI LEE BAGSTAD Compliance Manager 763-540-6119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-03-01 |