Organization
EASY RIDER OF MINNESOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM M BENNETTS (PRESIDENT)
(320) 676-1012
Entity
Organization
Contact information
Practice address
235 N HENNEPIN, ISLE, MN 56342-0510
(320) 676-1012
Mailing address
235 N HENNEPIN, PO BOX 510, ISLE, MN 56342-0510
(320) 676-1012
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
153694
MN
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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