| NPI | 1780799783 |
|---|---|
| Doing Business As | CANNEY MEDICAL SUPPLY, LLC |
| Entity Type | Organization |
| Authorized Contact | GREGORY MARVIN PETERSEN Manager 763-607-6874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2012-08-07 |