Grace Medical Inc.

NPI #1629364799 in Stillwater, Minnesota

Provider Information

NPI Number: 1629364799
Entity Type: Organization
Organization Name: Grace Medical Inc.
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Jun 27, 2011
Last Updated: Jun 27, 2011

Practice Location

Address: 1106 2ND ST N
City: Stillwater
State: Minnesota
ZIP Code: 55082-4059
Phone: (651) 430-8184

Authorized Official

Name: MS. SANDI MATTOX
Title: OWNER
Phone: (651) 430-8184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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