| NPI | 1982230025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN THOMAS WARNE Manager 218-371-6956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-26 |