| Rss Minnesota Pllc | |
|
7701 York Ave S Ste 100 Edina MN 55435-5849 | |
| (952) 679-6520 | |
| (469) 466-6086 |
| Full Name | Rss Minnesota Pllc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies - Customized Equipment |
| Location | 7701 York Ave S Ste 100, Edina, Minnesota |
| Authorized Official Name and Position | Latisha Peoples (ONBOARDING AND CREDENTIALING) |
| Authorized Official Contact | 8174406060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rss Minnesota Pllc 1050 Texan Trl Ste 300 Grapevine TX 76051-3759 Ph: (817) 440-6060 | Rss Minnesota Pllc 7701 York Ave S Ste 100 Edina MN 55435-5849 Ph: (952) 679-6520 |
| NPI Number | 1346731320 |
|---|---|
| Provider Enumeration Date | 05/24/2018 |
| Last Update Date | 09/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346731320 | NPI | - | NPPES |
| D13755 | Other | MN | PROFESSIONAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
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