| NPI | 1922231695 |
|---|---|
| Other Name | SENIOR MEDICAL TRAVEL |
| Entity Type | Organization |
| Authorized Contact | GAYLE RUTH GUSTAFSON Coordinator 218-463-3177 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2009-08-28 |