Organization · Type 2 NPI

Diabetic Shoe Source

Durable Medical Equipment & Medical Supplies · Eagan, MN

NPI number 1003960147 Active

Practice location

2121 Cliff Dr Ste 118
Eagan, MN 55122-3431

Call (763) 757-8086 Map

Fax (763) 862-4797

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1003960147

Diabetic Shoe Source's National Provider Identifier is 1003960147, issued on Jan 23, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Eagan, MN. The record was last updated on Oct 21, 2021.