Organization
GESIVA MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HOPPER (PRESIDENT)
(952) 843-8439
Entity
Organization
Contact information
Practice address
6385 OLD SHADY OAK RD STE 250, EDEN PRAIRIE, MN 55344-7705
(866) 344-3748
Mailing address
6385 OLD SHADY OAK RD STE 250, EDEN PRAIRIE, MN 55344-7705
(866) 344-3748
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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