| NPI | 1609976570 |
|---|---|
| Other Name | FRIDLEY PLAZA CLINIC - DME |
| Entity Type | Organization |
| Authorized Contact | JOEN V CONDON Chief Financial Officer 763-586-5839 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-11-13 |