Organization
MSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL WAYNE ROBLUS (VICE PRESIDENT OPERATIONS)
(314) 368-4548
Entity
Organization
Contact information
Practice address
5775 W OLD SHAKOPEE RD, SUITE 80, BLOOMINGTON, MN 55437-3173
(952) 881-2500
Mailing address
5775 W OLD SHAKOPEE RD, SUITE 80, BLOOMINGTON, MN 55437-3173
(952) 881-2500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/12/2007
Last updated
10/07/2008
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