| NPI | 1710653233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J. CARLSON Controller 763-255-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2022-01-27 |