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Minnesota Vision Group Pa
Durable Medical Equipment & Medical Supplies in Waite Park, Minnesota
NPI 1366505323

Minnesota Vision Group Pa is a Durable Medical Equipment & Medical Supplies based in Saint Cloud, MN. Minnesota Vision Group Pa practices in Waite Park, MN. The NPI Number for Minnesota Vision Group Pa is 1366505323 and holds a License No. (Minnesota).

The current practice location address for Minnesota Vision Group Pa is 206 W Division St, Waite Park, MN and can be reached out via phone at 320-253-0365 and via fax at 320-253-9401.

Location: 206 W Division St, Waite Park, MN, 56302-7654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366505323
Provider Name
Minnesota Vision Group Pa
Credential
Provider Entity Type
Organization
Address
206 W Division St, Waite Park, MN, 56302-7654
Phone Number
320-253-0365
Fax Number
320-253-9401
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
161524600 05 MN
0464710001 01 NATIONAL SUPPLIER CLEARINGHOUSE
4C750MI 01 MN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
206 W Division St
City
Waite Park
State
Minnesota
Zip
56387-1331
Phone Number
320-253-0365
Fax Number
320-253-9401
person
Provider Business Mailing Address Details
Address
206 W Division St
City
Waite Park
State
Minnesota
Zip
56387-1331
Phone Number
320-253-0365
Fax Number
320-253-9401
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(Minnesota)
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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