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Gillette Children's Specialty Healthcare
Prosthetic/Orthotic Supplier in Minnetonka, Minnesota
NPI 1598824880

Gillette Children's Specialty Healthcare is a Prosthetic/Orthotic Supplier based in Saint Paul, MN. Gillette Children's Specialty Healthcare practices in Minnetonka, MN. The NPI Number for Gillette Children's Specialty Healthcare is 1598824880 and holds a License No. (Minnesota).

The current practice location address for Gillette Children's Specialty Healthcare is 6060 Clearwater Dr, Minnetonka, MN and can be reached out via phone at 952-936-0977 and via fax at 952-936-0944.

Location: 6060 Clearwater Dr, Minnetonka, MN, 55101-2507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598824880
Provider Name
Gillette Children's Specialty Healthcare
Credential
Provider Entity Type
Organization
Address
6060 Clearwater Dr, Minnetonka, MN, 55101-2507
Phone Number
952-936-0977
Fax Number
952-936-0944
Provider Enumeration Date
12/06/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
594130000 05 MN
41683100 05 WI
815488000 05 MN
1111HGI 01 BLUE CROSS BLUE SHIELD
11003700 05 WI
institution
Provider Business Practice Location Address Details
Address
6060 Clearwater Dr
City
Minnetonka
State
Minnesota
Zip
55343-9442
Phone Number
952-936-0977
Fax Number
952-936-0944
person
Provider Business Mailing Address Details
Address
6060 Clearwater Dr
City
Minnetonka
State
Minnesota
Zip
55343-9442
Phone Number
952-936-0977
Fax Number
952-936-0944
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.
(Minnesota)
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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