| NPI | 1841901493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON GOLDSTEIN President 612-250-9799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2022-12-05 |