| NPI | 1851474506 |
|---|---|
| Doing Business As | HEIDE'S |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN R WRAZIDLO Owner 218-722-7860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN n/a) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-09-09 |