Organization
CHOICE MEDICAL SUPPLY MN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN CHI NDIKUM (OWNER)
(651) 486-6252
Entity
Organization
Contact information
Practice address
2353 RICE ST, SUITE 105, ROSEVILLE, MN 55113-3739
(651) 486-6252
Mailing address
2353 RICE ST., SUITE 105, ROSEVILLE, MN 55113
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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