Individual
MRS. REGINA ANN SRSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2897 FOREST RDG, CHASKA, MN 55318-1112
(952) 457-6602
Mailing address
2897 FOREST RDG, CHASKA, MN 55318-1112
(952) 457-6602
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
#K153389
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K153389
PRESCRIPTION FDA MEDICAL DEVICE #K153389 / TREATMENT PLAN CPT-97026
MN
Enumeration date
09/25/2016
Last updated
09/25/2016
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