Organization
TEN THOUSAND LAKES MEDICAL SERVICES INC.
Active
Organization
TEN THOUSAND LAKES MEDICAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WARMATE (OPERATIONS MANAGER)
(651) 486-7295
Entity
Organization
Contact information
Practice address
2353 RICE STREET, SUITE 240, ROSEVILLE, MN 55113
(651) 486-7295
(651) 486-7297
Mailing address
2353 RICE STREET, SUITE 240, ROSEVILLE, MN 55113
(651) 486-7295
(651) 486-7297
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119043
HEALTH PARTNERS
MN
05
—
41757800
—
WI
01
—
628K4TE
BLUE CROSS BLUE SHIELD
MN
05
—
753856100
—
MN
01
—
82-81384
MEDICA
MN
Enumeration date
09/11/2006
Last updated
10/07/2008
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