Organization
EHR RENEWAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG BORGE BSCS, PMP (CEO)
(612) 210-0377
Entity
Organization
Contact information
Practice address
2326 SILVER LN, 201, NEW BRIGHTON, MN 55112-7449
(612) 210-0377
Mailing address
2326 SILVER LN, 201, NEW BRIGHTON, MN 55112-7449
(612) 210-0377
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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