Organization
TWIN CITIES MEDICAL SUPPLY
Active
Organization
TWIN CITIES MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY BENACKA (OWNER)
(763) 420-4005
Entity
Organization
Contact information
Practice address
16720 73RD PL N, MAPLE GROVE, MN 55311-2130
(763) 420-4005
Mailing address
16720 73RD PL N, MAPLE GROVE, MN 55311-2130
(763) 420-4005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MN
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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