Organization
MINNESOTA MEDICAL SUPPLY COMPANY
Active
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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