Imed Mobility

NPI #1063782704 in Roseville, Minnesota

Provider Information

NPI Number: 1063782704
Entity Type: Organization
Organization Name: Imed Mobility
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Jan 11, 2012
Last Updated: Jan 11, 2012

Practice Location

Address: 1915 COUNTY ROAD C W
City: Roseville
State: Minnesota
ZIP Code: 55113-1320
Phone: (651) 635-0655

Authorized Official

Name: KAYTEY L GILGENBACH
Title: ACCOUNTING
Phone: (651) 635-0655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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