Park Nicollet Health Care Products

NPI #1992768899 in St Louis Park, Minnesota

Provider Information

NPI Number
1992768899
Entity Type
Organization
Organization Name
Park Nicollet Health Care Products
Subpart
Yes (part of a larger organization)
Parent Organization
PARK NICOLLET HEALTH SERVICES
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 11, 2006
Last Updated
Nov 7, 2024

Practice Location

Address
3931 LOUISIANA AVE S
ZIP Code
55426-4375
Phone
(952) 993-3121

Authorized Official

Name
KRISTIN DENISE BREY
Title
SUPERVISOR/DELEGATED OFFICIAL
Phone
(952) 993-6832

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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