| Minnesota Durable Medical Equipment Llc | |
|
15600 36th Ave N Ste 270 Minneapolis MN 55446-3372 | |
| (612) 210-2452 | |
| Not Available |
| Full Name | Minnesota Durable Medical Equipment Llc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies - Customized Equipment |
| Location | 15600 36th Ave N Ste 270, Minneapolis, Minnesota |
| Authorized Official Name and Position | Jack Baldwin (DENTIST) |
| Authorized Official Contact | 6122102452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Durable Medical Equipment Llc 15600 36th Ave N Ste 270 Minneapolis MN 55446-3372 Ph: () - | Minnesota Durable Medical Equipment Llc 15600 36th Ave N Ste 270 Minneapolis MN 55446-3372 Ph: (612) 210-2452 |
| NPI Number | 1811483795 |
|---|---|
| Provider Enumeration Date | 07/03/2018 |
| Last Update Date | 07/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811483795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
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