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Gillette Children's Specialty Healthcare
Prosthetic/Orthotic Supplier in Duluth, Minnesota
NPI 1477612604

Gillette Children's Specialty Healthcare is a Prosthetic/Orthotic Supplier based in Saint Paul, MN. Gillette Children's Specialty Healthcare practices in Duluth, MN. The NPI Number for Gillette Children's Specialty Healthcare is 1477612604 and holds a License No. (Minnesota).

The current practice location address for Gillette Children's Specialty Healthcare is 1420 London Rd, Duluth, MN and can be reached out via phone at 218-728-6160 and via fax at 218-724-6982.

Location: 1420 London Rd, Duluth, MN, 55101-2507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477612604
Provider Name
Gillette Children's Specialty Healthcare
Credential
Provider Entity Type
Organization
Address
1420 London Rd, Duluth, MN, 55101-2507
Phone Number
218-728-6160
Fax Number
218-724-6982
Provider Enumeration Date
12/06/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11003700 05 WI
235422100 05 MN
1111HGI 01 BLUE CROSS BLUE SHIELD
103632000 05 MN
41683100 05 WI
institution
Provider Business Practice Location Address Details
Address
1420 London Rd
City
Duluth
State
Minnesota
Zip
55805-2433
Phone Number
218-728-6160
Fax Number
218-724-6982
person
Provider Business Mailing Address Details
Address
1420 London Rd
City
Duluth
State
Minnesota
Zip
55805-2433
Phone Number
218-728-6160
Fax Number
218-724-6982
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
(Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
(Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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