| NPI | 1770300303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK SZCZESNIAK Authorized Official 701-852-6153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |