| NPI | 1700343639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GOMPF Billing Manager 701-235-7424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |