Organization
MIDMINN TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERVAN MARTIN CHRISTOPHERSON (OWNER)
(320) 250-0499
Entity
Organization
Contact information
Practice address
4393 165TH AVE, BECKER, MN 55308-9450
(320) 250-0499
(763) 261-5576
Mailing address
4393 165TH AVE, BECKER, MN 55308-9450
(320) 250-0499
(763) 261-5576
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
4724376
MN
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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