Organization
WALDOCH CRAFTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD LEWIS WALDOCH (PRESIDENT)
(651) 464-3215
Entity
Organization
Contact information
Practice address
13821 LAKE DR NE, FOREST LAKE, MN 55025-9444
(651) 464-3215
(651) 464-1117
Mailing address
13821 LAKE DR NE, FOREST LAKE, MN 55025-9444
(651) 464-3215
(651) 464-1117
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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