Organization
MINNESOTA MEDICAL BUYERS SOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C DENHARTOG (PRESIDENT)
(952) 447-4753
Entity
Organization
Contact information
Practice address
7801 W 128TH ST, SUITE 1502, SAVAGE, MN 55378-1138
(612) 240-1909
Mailing address
PO BOX 181, SAVAGE, MN 55378-0181
(612) 240-1909
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
06/23/2008
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