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Organization
CHANDLER DIETRICH ENTERPRICES, LLC
Active
Organization
CHANDLER DIETRICH ENTERPRICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN GERALD DIETRICH (OWNER)
(612) 384-3049
Entity
Organization
Contact information
Practice address
129 FAIRLAWN AVE E, WINSTED, MN 55395-1040
(612) 384-3049
Mailing address
129 FAIRLAWN AVE E, WINSTED, MN 55395-1040
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NULL
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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