Organization
PINK RIBBON MASTECTOMY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN RENEE' HEIDE-MCDOUGALL RFM (PRESIDENT/OWNER)
(218) 846-1800
Entity
Organization
Contact information
Practice address
101 GRAYSTONE PLZ, SUITE 200, DETROIT LAKES, MN 56501-3043
(218) 846-1800
(218) 846-1803
Mailing address
101 GRAYSTONE PLZ, SUITE 200, DETROIT LAKES, MN 56501-3043
(218) 846-1800
(218) 846-1803
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
MN
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/02/2005
Last updated
09/11/2025
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