Organization Name: | MINNESOTA VISION GROUP |
NPI Number: | 1457414419 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREG J FRIEDERICHS (OWNER) |
Mailing Address: | 204 Washburne Ave Paynesville |
State: | MN US |
Postal Code: | 563621643 |
Phone Number: | 3202433566 |
Fax Number: | 3202437104 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 11/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 2441 |
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 |