NPI 1003960147

Diabetic Shoe Source

Organisation Durable Medical Equipment & Medical Supplies Eagan, MN

Practice location

Address: 2121 Cliff Dr STE 118, Eagan, MN 55122-3431
Phone: (763) 757-8086
Fax: (763) 862-4797

Authorised official

Name: Amy Luzaich
Title: President
Phone: (763) 757-8086

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Minnesota →

Registry record

NPI: 1003960147
Entity type: Organization
NPI issued: 23 Jan 2007
Record last updated: 21 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.