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Mr. Randolph Lee Stagg
Durable Medical Equipment & Medical Supplies in Chanhassen, Minnesota
NPI 1861573479

Randolph Lee Stagg is a Durable Medical Equipment & Medical Supplies based in Chanhassen, MN. Randolph Lee Stagg practices in Chanhassen, MN. The NPI Number for Randolph Lee Stagg is 1861573479 and holds a License No. E595041887419 (Minnesota).

The current practice location address for Randolph Lee Stagg is 80 W 78Th St, Chanhassen, MN and can be reached out via phone at 952-934-6000 and via fax at 952-934-6760.

Location: 80 W 78Th St, Chanhassen, MN, 55317-8715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861573479
Provider Name
Randolph Lee Stagg
Credential
Provider Entity Type
Individual
Gender
Male
Address
80 W 78Th St, Chanhassen, MN, 55317-8715
Phone Number
952-934-6000
Fax Number
952-934-6760
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
80 W 78Th St
City
Chanhassen
State
Minnesota
Zip
55317-8715
Phone Number
952-934-6000
Fax Number
952-934-6760
person
Provider Business Mailing Address Details
Address
80 W 78Th St
City
Chanhassen
State
Minnesota
Zip
55317-8715
Phone Number
952-934-6000
Fax Number
952-934-6760
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
E595041887419 (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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