| NPI | 1831145705 |
|---|---|
| Doing Business As | HEALTHEAST WOODBURY CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAN FROMM CFO 612-672-2258 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-07-30 |