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Organization

CHANDLER DIETRICH ENTERPRICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEVIN GERALD DIETRICH (OWNER)
(612) 384-3049
Entity
Organization

Contact information

Practice address
129 FAIRLAWN AVE E, WINSTED, MN 55395-1040
(612) 384-3049
Mailing address
129 FAIRLAWN AVE E, WINSTED, MN 55395-1040

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
09/16/2009
Last updated
09/16/2009
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