Organization
CELLERATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK T WAGNER (PRESIDENT & CEO)
(952) 224-8700
Entity
Organization
Contact information
Practice address
6321 BURY DRIVE SUITE 15, CELLERATION, INC, EDEN PRAIRIE, MN 55346
(952) 224-8700
(952) 224-8750
Mailing address
6321 BURY DRIVE SUITE 15, CELLERATION, INC, EDEN PRAIRIE, MN 55346
(952) 224-8700
(952) 224-8750
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4865891
MN
Other
Enumeration date
09/14/2006
Last updated
12/08/2010
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