Organization
DR REPS WELLNESS PRODUCTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CHARLES REPS DC (MANAGING MEMBER)
(651) 491-6537
Entity
Organization
Contact information
Practice address
4045 LAKEHILL CIR, SAINT PAUL, MN 55110-4416
(651) 491-6537
Mailing address
4045 LAKEHILL CIR, SAINT PAUL, MN 55110-4416
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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