| NPI | 1649580796 |
|---|---|
| Doing Business As | MAIN CLINIC SUPPLY |
| Entity Type | Organization |
| Authorized Contact | DIANA FOX President 507-722-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 1126330) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |