| NPI | 1649386293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E JOHANSEN President 218-847-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MN CO1105) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |