NPI | 1811543309 |
---|---|
Doing Business As | MAYO CLINIC STORE - LA CROSSE |
Entity Type | Organization |
Authorized Contact | DENNIS EUGENE DAHLEN Chief Financial Officer 507-266-4416 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2019-08-12 |
Last Update Date | 2019-08-12 |