NPI 1134110802

Pink Ribbon Mastectomy, INC.

Organisation Prosthetic/Orthotic Supplier Detroit Lakes, MN

Practice location

Address: 101 Graystone Plz Suite 200, Detroit Lakes, MN 56501-3043
Phone: (218) 846-1800
Fax: (218) 846-1803

Authorised official

Name: Dawn Renee' Heide-Mcdougall
Title: President/Owner
Phone: (218) 846-1800

Registered specialties (2)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Minnesota →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Minnesota →

Registry record

NPI: 1134110802
Entity type: Organization
NPI issued: 2 Nov 2005
Record last updated: 11 Sep 2025

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.