HEIDE'S MASTECTOMY SERVICES OF DULUTH. NPI 1851474506

NPI Information

HEIDE'S MASTECTOMY SERVICES OF DULUTH. is a durable medical equipment medical supplies in Duluth, MN. The provider is 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. HEIDE'S MASTECTOMY SERVICES OF DULUTH. NPI is 1851474506. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Heide's.

The provider's business location address is:

701 1/2 NORTH 6TH AVE. EAST
DULUTH, MN
ZIP 55805-333
Phone: (218) 722-7860
Fax: (218) 722-7872

The provider's authorized official is Kathleen R Wrazidlo .
The authorized official title is Owner and has the following contact phone number (218) 722-7860.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 9/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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