institution
Custom Medical Equipment Llc
Customized Equipment (DME) in Grand Rapids, Minnesota
NPI 1306093463

Custom Medical Equipment Llc is a Customized Equipment (DME) based in Grand Rapids, MN and is specialized in Customized Equipment. Custom Medical Equipment Llc practices in Grand Rapids, MN. The NPI Number for Custom Medical Equipment Llc is 1306093463 and holds a License No. 9615269 (Minnesota).

The current practice location address for Custom Medical Equipment Llc is 1001 S Pokegama Ave Ste A, Grand Rapids, MN and can be reached out via phone at 218-326-2212.

Location: 1001 S Pokegama Ave Ste A, Grand Rapids, MN, 55744-3919
institution
Provider Profile Details
NPI Number
1306093463
Provider Name
Custom Medical Equipment Llc
Credential
Provider Entity Type
Organization
Address
1001 S Pokegama Ave Ste A, Grand Rapids, MN, 55744-3919
Phone Number
218-326-2212
Fax Number
Provider Enumeration Date
08/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
697697100 05 MN
institution
Provider Business Practice Location Address Details
Address
1001 S Pokegama Ave Ste A
City
State
Zip
55744-3919
Phone Number
218-326-2212
Fax Number
person
Provider Business Mailing Address Details
Address
1001 S Pokegama Ave Ste A
City
State
Zip
55744-3919
Phone Number
218-326-2212
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
9615269 (Minnesota)
Definition
Definition to come...
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