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Diabetic Shoe Source
Durable Medical Equipment & Medical Supplies in Eagan, Minnesota
NPI 1003960147

Diabetic Shoe Source is a Durable Medical Equipment & Medical Supplies based in Eagan, MN. Diabetic Shoe Source practices in Eagan, MN. The NPI Number for Diabetic Shoe Source is 1003960147 and holds a License No. (Minnesota).

The current practice location address for Diabetic Shoe Source is 2121 Cliff Dr Ste 118, Eagan, MN and can be reached out via phone at 763-757-8086 and via fax at 763-862-4797.

Location: 2121 Cliff Dr Ste 118, Eagan, MN, 55122-3431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003960147
Provider Name
Diabetic Shoe Source
Credential
Provider Entity Type
Organization
Address
2121 Cliff Dr Ste 118, Eagan, MN, 55122-3431
Phone Number
763-757-8086
Fax Number
763-862-4797
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
786A6DI 01 MN BCBS
520052200 05 MN
institution
Provider Business Practice Location Address Details
Address
2121 Cliff Dr Ste 118
City
Eagan
State
Minnesota
Zip
55122-3431
Phone Number
763-757-8086
Fax Number
763-862-4797
person
Provider Business Mailing Address Details
Address
2121 Cliff Dr Ste 118
City
Eagan
State
Minnesota
Zip
55122-3431
Phone Number
763-757-8086
Fax Number
763-862-4797
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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