| Organization Name: | TEN THOUSAND LAKES MEDICAL SERVICES INC. |
| NPI Number: | 1134223209 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAMUEL WARMATE (OPERATIONS MANAGER) |
| Mailing Address: | 2353 Rice Street Suite 240 Roseville |
| State: | MN US |
| Postal Code: | 55113 |
| Phone Number: | 6514867295 |
| Fax Number: | 6514867297 |
| NPI Enumeration Date: | 09/11/2006 |
| NPI Last Update Date: | 10/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |