Provider Demographics
NPI:1548068943
Name:DAVIS & METTY MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:DAVIS & METTY MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:METRINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WANYONYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-261-5433
Mailing Address - Street 1:1601 CLIFF RD E APT 315
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-1324
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1601 CLIFF RD E APT 315
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-1324
Practice Address - Country:US
Practice Address - Phone:612-261-5433
Practice Address - Fax:952-600-3082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies