| NPI | 1972771707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF SJOBECK Vice President 952-516-6289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000000510) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TN 0000000510) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2012-12-18 |