Organization
PARK NICOLLET HEALTH CARE PRODUCTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN DENISE BREY (SUPERVISOR/DELEGATED OFFICIAL)
(952) 993-6832
Entity
Organization
Contact information
Practice address
537 PHALEN BLVD STE 101, SAINT PAUL, MN 55130-5303
(651) 254-6673
(952) 993-0562
Mailing address
3800 PARK NICOLLET BLVD # MS 61901C, ST LOUIS PARK, MN 55416-2527
(952) 993-0562
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
11/07/2024
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