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Advanced Therapy Surfaces, Inc.

Organization Active NPI Durable Medical Equipment & Medical Supplies · Maplewood, MN

NPI 1366435505 · NPPES record last updated May 2, 2008

Key facts

NPI
1366435505
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
ADVANCED THERAPY SURFACES, INC.
Practice address
2495 Maplewood Dr
Suite 314
Maplewood, MN 55109-1913
Phone
(651) 762-1717
Fax
(651) 762-8549
NPI assigned
Aug 23, 2005
Organization subpart
No

Authorized official

Name
Ms. Carol Lynn Anderson, RN, MSN
Title
President
Phone
(651) 762-1717

National Provider Directory

Locations

2495 Maplewood Dr N
Ste 314
Maplewood, MN 55109
Phone (651) 762-1717

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

2495 Maplewood Dr
Suite 314
Maplewood, MN 55109-1913

Mailing address

2495 Maplewood Dr
Suite 314
Maplewood, MN 55109-1913
Phone (651) 762-1717

Other identifiers

IdentifierTypeStateIssuer
627682200MedicaidMN
58G85ADOtherMNBCBS DME PROVIDER NUMBER

Other providers in Maplewood, MN

All providers in Maplewood, MN · Durable Medical Equipment & Medical Supplies in Minnesota

Sources for this page

Verify at the official NPI Registry.