Organization
PARK NICOLLET HEALTH CARE PRODUCTS
Active
Parent organization
PARK NICOLLET
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARK NICOLLET
Authorized official
KRISTIN D BREY (SUPERVISOR/DELEGATED OFFICIAL)
(952) 993-6832
Entity
Organization
Contact information
Practice address
1455 SAINT FRANCIS AVE, SHAKOPEE, MN 55379-3374
(952) 993-7644
(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
—
MN
Other
Enumeration date
10/19/2016
Last updated
11/07/2024
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