Organization
ABSOLUTE MEDICAL & RENOVATIONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK TRACY JOHNSTON (PRESIDENT)
(320) 358-3202
Entity
Organization
Contact information
Practice address
48675 ANCHOR AVE, STANCHFIELD, MN 55080-5223
(320) 358-3202
(320) 358-3202
Mailing address
48675 ANCHOR AVE, STANCHFIELD, MN 55080-5223
(320) 358-3202
(320) 358-3202
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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