Organization
DEAN T WEBER
Active
Other names
Foley Medical Supply Co
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN T WEBER RN (OWNER)
(320) 968-7797
Entity
Organization
Contact information
Practice address
20 2ND AVE W, FOLEY, MN 56329-8514
(320) 968-7797
(320) 968-8869
Mailing address
PO BOX 548, FOLEY, MN 56329-0548
(320) 968-7797
(320) 968-8869
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
4463584
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058484300
—
MN
Enumeration date
11/06/2008
Last updated
11/06/2008
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