Chandler Dietrich Enterprices, LLC

NPI #1578896965 in Winsted, Minnesota

Provider Information

NPI Number
1578896965
Entity Type
Organization
Organization Name
Chandler Dietrich Enterprices, LLC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Sep 16, 2009
Last Updated
Sep 16, 2009

Practice Location

Address
129 FAIRLAWN AVE E
ZIP Code
55395-1040
Phone
(612) 384-3049

Authorized Official

Name
MR. KEVIN GERALD DIETRICH
Title
OWNER
Phone
(612) 384-3049

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Prosthetic/Orthotic Supplier

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