Fsminnesotaone LLC

NPI #1982965505 in Woodbury, Minnesota

Provider Information

NPI Number
1982965505
Entity Type
Organization
Organization Name
Fsminnesotaone LLC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
May 30, 2012
Last Updated
Apr 22, 2013

Practice Location

Address
7060 VALLEY CREEK PLZ
Address 2
SUITE 113
ZIP Code
55125-2269
Phone
(651) 739-3668

Authorized Official

Name
MR. TED LOWE, C.PED
Title
CERTIFIED PEDORTHIST
Phone
(651) 739-3668

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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