Organization
WHOLE BUILDERS COOPERATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCIA BETHKE (OWNER, SECY/TREASURER)
(612) 987-1729
Entity
Organization
Contact information
Practice address
2928 5TH AVE S, MINNEAPOLIS, MN 55408-2412
(612) 824-6567
Mailing address
2928 5TH AVE S, MINNEAPOLIS, MN 55408-2412
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
BC003093
MN
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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