Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RANDOLPH LEE STAGG
Active Sole ProprietorMR. RANDOLPH LEE STAGG is a Durable Medical Equipment & Medical Supplies healthcare provider located in CHANHASSEN, Minnesota. NPI 1861573479 is currently active in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · CHANHASSEN, MN
Registration Details
- NPI Number
- 1861573479
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2006 (19.86790248901 yrs)
- Last Updated
- Jul 8, 2007
- License
-
E595041887419 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
80 W 78TH STSUITE 265CHANHASSEN, MN, 553178715Browse MN providers · Browse ZIP 55317
- Phone
- 9529346000
- Fax
- 9529346760
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.