MR. Randolph Lee Stagg
NPI #1861573479 in Chanhassen, Minnesota
Provider Information
- NPI Number
- 1861573479
- Entity Type
- Individual
- Name
- MR. Randolph Lee Stagg
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 80 W 78TH ST
- Address 2
- SUITE 265
- City
- Chanhassen
- State
- Minnesota
- ZIP Code
- 55317-8715
- Phone
- (952) 934-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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