Individual provider · Type 1 NPI
Randolph Lee Stagg
Durable Medical Equipment & Medical Supplies · Chanhassen, MN
NPI number
1861573479
Active
Practice location
80 W 78th St, Suite 265
Chanhassen, MN 55317-8715
Fax (952) 934-6760
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | E595041887419 (MN) |
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.
2 other providers at this address
About NPI 1861573479
Randolph Lee Stagg's National Provider Identifier is 1861573479, issued on Oct 18, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Chanhassen, MN. The record was last updated on Jul 8, 2007.