| NPI | 1669193785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ERIK SCHWARZROCK Manager 612-434-2755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2024-10-02 |