Otolaryngology Head & Neck Surgery, P.a.
Durable Medical Equipment & Medical Supplies
217 Radio Dr, Woodbury
Minnesota, 55125-5805
651-702-0750 651-645-6166
Otolaryngology Head & Neck Surgery, P.a. is not a DME supplier for medicare equipment and products.Otolaryngology Head & Neck Surgery, P.a. is a Durable Medical Equipment & Medical Supplies in Woodbury, Minnesota. It is located at 217 Radio Dr, Woodbury and it's customer support contact number is 651-702-0750. The authorized person of Otolaryngology Head & Neck Surgery, P.a. is Anthony Benusa who is Ceo of this DME and his contact number is 651-702-0750. Active license number of Otolaryngology Head & Neck Surgery, P.a. is 20 for Durable Medical Equipment & Medical Supplies in Minnesota.
Otolaryngology Head & Neck Surgery, P.a. is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Otolaryngology Head & Neck Surgery, P.a. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Otolaryngology Head & Neck Surgery, P.a. |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 217 Radio Dr, Woodbury, Minnesota, 55125-5805 |
| Phone: | 651-702-0750 |
| Fax: | 651-645-6166 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Anthony Benusa |
| Position: | Ceo |
| Contact Number: | 651-702-0750 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1609019363 |
| NPI Enumeration Date: | 10 Apr, 2009 |
| NPI Last Update On: | 26 Feb, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Otolaryngology Head & Neck Surgery, P.a. are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 20 | Minnesota | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1821195959 | Medicaid | Minnesota | |
| 1821195959 | Other | Minnesota | Medicare Ptan C00273 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 215 Radio Dr Ste 202, Woodbury, Minnesota |
| Zip: | 55125-5822 |
| Phone Number: | 651-702-0750 |
| Fax Number: | 651-645-6166 |
Patients can reach Otolaryngology Head & Neck Surgery, P.a. at
217 Radio Dr, Woodbury, Minnesota or can
call on customer care at 651-702-0750.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.