| NPI | 1710606967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN J SAUER Manager 651-216-3664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207QS1201X Family Medicine Sleep Medicine |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2023-10-06 |