Organization
PARK NICOLLET HEALTH CARE PRODUCTS
Active
Parent organization
PARK NICOLLET HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARK NICOLLET HEALTH SERVICES
Authorized official
KRISTIN DENISE BREY (SUPERVISOR/DELEGATED OFFICIAL)
(952) 993-6832
Entity
Organization
Contact information
Practice address
9555 UPLAND LN N, MAPLE GROVE, MN 55369-4481
(952) 993-5500
(952) 993-0562
Mailing address
3800 PARK NICOLLET BLVD # MS 61901C, ST LOUIS PARK, MN 55416-2527
(952) 993-0562
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
11/07/2024
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