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Gillette Children's Specialty Healthcare
Prosthetic/Orthotic Supplier in Maple Grove, Minnesota
NPI 1730363698

Gillette Children's Specialty Healthcare is a Prosthetic/Orthotic Supplier based in Saint Paul, MN. Gillette Children's Specialty Healthcare practices in Maple Grove, MN. The NPI Number for Gillette Children's Specialty Healthcare is 1730363698 and holds a License No. (Minnesota).

The current practice location address for Gillette Children's Specialty Healthcare is 9550 Upland Lane North, Maple Grove, MN and can be reached out via phone at 651-291-2848. You can also correspond with Gillette Children's Specialty Healthcare through the mailing address at 200 UNIVERSITY AVE E, SAINT PAUL, MN - 55101-2507 (mailing address contact number: 651-291-2848).

Location: 9550 Upland Lane North, Maple Grove, MN, 55101-2507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730363698
Provider Name
Gillette Children's Specialty Healthcare
Credential
Provider Entity Type
Organization
Address
9550 Upland Lane North, Maple Grove, MN, 55101-2507
Phone Number
651-291-2848
Fax Number
Provider Enumeration Date
12/27/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1111HGI 01 MN BLUE CROSS
347487000 05 MN
institution
Provider Business Practice Location Address Details
Address
9550 Upland Lane North
City
Maple Grove
State
Minnesota
Zip
55369
Phone Number
651-291-2848
Fax Number
person
Provider Business Mailing Address Details
Address
200 University Ave E
City
Saint Paul
State
Minnesota
Zip
55101-2507
Phone Number
651-291-2848
Fax Number
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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