Gillette Children's Specialty Healthcare

NPI #1457747172 in Crookston, Minnesota

Provider Information

NPI Number
1457747172
Entity Type
Organization
Organization Name
Gillette Children's Specialty Healthcare
Subpart
Yes (part of a larger organization)
Parent Organization
GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Apr 9, 2015
Last Updated
Apr 9, 2015

Practice Location

Address
323 S MINNESOTA ST
ZIP Code
56716-1601
Phone
(651) 634-1938

Authorized Official

Name
JAMES L HADDICAN
Title
VP OF FINANCE/CFO
Phone
(651) 312-3105

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Durable Medical Equipment & Medical Supplies - Customized EquipmentCustomized Equipment
Prosthetic/Orthotic Supplier

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