Organization
ALLIANCE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE C ERICKSEN (DIRECTOR)
(651) 895-8040
Entity
Organization
Contact information
Practice address
2260 CLIFF RD, EAGAN, MN 55122-2316
(651) 895-8040
(651) 895-8070
Mailing address
2260 CLIFF RD, EAGAN, MN 55122-2316
(651) 895-8040
(651) 895-8070
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NOT REQUIRED
MN
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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