Organization · Type 2 NPI
Custom Medical Equipment LLC
Customized Equipment (DME) · Grand Rapids, MN
NPI number
1306093463
Active
Practice location
1001 S Pokegama Ave Ste A
Grand Rapids, MN 55744-3919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 9615269 (MN) |
Customized Equipment (DME): Definition to come...
About NPI 1306093463
Custom Medical Equipment LLC's National Provider Identifier is 1306093463, issued on Aug 20, 2008. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Grand Rapids, MN. The record was last updated on Aug 19, 2022.