Organization
BRIDGE MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IDRIS H MOHAMED (OWNER/CEO)
(612) 332-2280
Entity
Organization
Contact information
Practice address
2615 E FRANKLIN AVE, MINNEAPOLIS, MN 55406-1103
(612) 332-2280
(612) 333-1445
Mailing address
2615 E FRANKLIN AVE, MINNEAPOLIS, MN 55406-1103
(612) 332-2280
(612) 333-1445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4012349-2
MN
332BC3200X
Customized Equipment (DME)
4012349-2
MN
Other
Enumeration date
03/06/2012
Last updated
07/22/2013
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