| NPI | 1922471804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT MATTSON CEO 218-736-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 1783) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MN 1783) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2024-08-19 |