North Central Medical Supply

NPI Provider: 1851397376
Contact Name: LAVALLE ANN JULIE
Position: PRESIDENT
Phone: (218) 825-7331

North Central Medical Supply Information:

North Central Medical Supply organization have npi 1851397376, taxonomy code is 332BX2000X with license number is 4406370 in . This Business address located in 314 Charles St, Brainerd, MN 56401 Minnesota.

Practice Location
Address: 314 Charles St, Brainerd, MN 56401
Phone: (218) 825-7331

Business Location
Address: 314 Charles St, Brainerd, MN 56401
Phone: (218) 825-7331
Fax: (218) 825-7293

Taxonomy

Taxonomy Code: 332BX2000X

License Number: 4406370

License Number of State: MN

Primary Taxonomy Switch: Y

Enumeration Date: 6/21/2005

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