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Organization
MINNESOTA ORTHOTICS
Active
Organization
MINNESOTA ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRENT ALLEN ZIMMERMAN (OWNER)
(320) 293-2493
Entity
Organization
Contact information
Practice address
108 AVON AVE N, AVON, MN 56310-8515
(320) 293-2493
Mailing address
108 AVON AVE N, AVON, MN 56310-8515
(320) 293-2493
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NULL
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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