Organization
MINNESOTA MEDICAL SUPPLY COMPANY
Active
Other names
MINNESOTA MEDICAL SUPPLY COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HASSAN AHMED ALI (OWNER)
(612) 607-4948
Entity
Organization
Contact information
Practice address
410 PROFT PLACE, COLUMBIA HTS, MN 55426
(612) 607-4948
Mailing address
410 PROFT PL NE, COLUMBIA HTS, MN 55421-5051
(612) 607-4948
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3686178
MN
332B00000X
Durable Medical Equipment & Medical Supplies
775683100022
MN
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MN
332BC3200X
Customized Equipment (DME)
3686178
MN
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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