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NPI Code Detail

MEDICARE: MIDTOWN INVESTMENTS LLC

MEDICARE: MIDTOWN INVESTMENTS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies90501312OH

General Provider Information

NPI Number : 1811192073
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDTOWN INVESTMENTS LLC
Provider Business Mailing Address
First Line : 7100 NORTHLAND CIR N
Second Line : SUITE 410
City : BROOKLYN PARK
State : MN
Zip : 55428-1548
Country : US
Telephone Number : 763-535-0118
Fax Number : 763-536-0932
Provider Business Practice Location Address
First Line : 7862 W CENTRAL AVE
Second Line : SUITE C
City : TOLEDO
State : OH
Zip : 43617-1509
Country : US
Telephone Number : 419-841-8339
Fax Number : 419-841-8398
Authorized Official
Title or Position : PRESIDENT
Name : MR. JASON L RICHARDSON
Credential :
Telephone Number : 601-842-7380
Provider Enumeration Date : 06/18/2007
Last Update Date : 02/03/2009

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Directions to “MIDTOWN INVESTMENTS LLC ” Practice Location

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