Healthcare Provider Details

I. General information

NPI: 1457285884
Provider Name (Legal Business Name): WINDOW OUTFITTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12605 CREEK VIEW AVE
SAVAGE MN
55378-2390
US

IV. Provider business mailing address

12605 CREEK VIEW AVE
SAVAGE MN
55378-2390
US

V. Phone/Fax

Practice location:
  • Phone: 952-908-9801
  • Fax: 952-908-9810
Mailing address:
  • Phone: 952-908-9801
  • Fax: 952-908-9810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: ROBERT E DAVIS
Title or Position: CEO/PRESIDENT
Credential:
Phone: 952-908-9801