| NPI | 1841986056 |
|---|---|
| Doing Business As | ST. LUKE'S PAVILION SURGERY CENTER DME |
| Entity Type | Organization |
| Authorized Contact | KATHERINE BECKER VP Corporate Compliance 218-249-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |