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Otolaryngology Head & Neck Surgery, P.a,.
Durable Medical Equipment & Medical Supplies in Woodbury, Minnesota
NPI 1609019363

Otolaryngology Head & Neck Surgery, P.a,. is a Durable Medical Equipment & Medical Supplies based in Woodbury, MN. Otolaryngology Head & Neck Surgery, P.a,. practices in Woodbury, MN. The NPI Number for Otolaryngology Head & Neck Surgery, P.a,. is 1609019363 and holds a License No. 20 (Minnesota).

The current practice location address for Otolaryngology Head & Neck Surgery, P.a,. is 2080 Woodwinds Dr Ste 240, Woodbury, MN and can be reached out via phone at 651-702-0750 and via fax at 651-645-6166.

Location: 2080 Woodwinds Dr Ste 240, Woodbury, MN, 55125-2524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609019363
Provider Name
Otolaryngology Head & Neck Surgery, P.a,.
Credential
Provider Entity Type
Organization
Address
2080 Woodwinds Dr Ste 240, Woodbury, MN, 55125-2524
Phone Number
651-702-0750
Fax Number
651-645-6166
Provider Enumeration Date
04/10/2009
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1821195959 01 MN MEDICARE PTAN C00273
1821195959 05 MN
institution
Provider Business Practice Location Address Details
Address
2080 Woodwinds Dr Ste 240
City
Woodbury
State
Minnesota
Zip
55125-2539
Phone Number
651-702-0750
Fax Number
651-645-6166
person
Provider Business Mailing Address Details
Address
2080 Woodwinds Dr Ste 240
City
Woodbury
State
Minnesota
Zip
55125-2539
Phone Number
651-702-0750
Fax Number
651-645-6166
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
20 (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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