NPI | 1568605343 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH ROBERT OLSON CEO 218-736-7588 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2009-04-09 |
Last Update Date | 2009-04-09 |