| NPI | 1821174657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON B JANIKE VP Of Revenue Cycle 952-512-5637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2025-12-03 |