Park Nicollet Health Care Products
NPI #1033178983 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1033178983
- Entity Type
- Organization
- Organization Name
- Park Nicollet Health Care Products
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PARK NICOLLET HEALTH SERVICES
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 20, 2006
- Last Updated
- Nov 7, 2024
Practice Location
- Address
- 3850 PARK NICOLLET BLVD
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-2527
- Phone
- (952) 993-1330
Authorized Official
- Name
- KRISTIN DENISE BREY
- Title
- SUPERVISOR/DELEGATED OFFICIAL
- Phone
- (952) 993-6832
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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