Organization
WILDROSE HOME MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESTLEY T BLOMME (OWNER)
(612) 618-5313
Entity
Organization
Contact information
Practice address
1210 E COLLEGE DR STE 800, MARSHALL, MN 56258-2269
(612) 618-5313
Mailing address
1210 E COLLEGE DR STE 800, MARSHALL, MN 56258-2269
(612) 618-5313
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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