NPI 1194111724

Gillette Children's Specialty Healthcare

Organisation Prosthetic/Orthotic Supplier Marshall, MN

Practice location

Address: 300 S Bruce St, Marshall, MN 56258-1934
Phone: (651) 634-1938
Mailing address: 200 University Ave E, Saint Paul, MN 55101-2507

Authorised official

Name: Patrick Nolan
Title: Cfo
Phone: (651) 312-3105

Registered specialties (3)

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 →

Customized Equipment (DME)

Suppliers Taxonomy 332BC3200X

Registry record

NPI: 1194111724
Entity type: Organization
NPI issued: 10 Apr 2015
Record last updated: 27 Dec 2019

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.