Provider Demographics
NPI:1770456238
Name:EXPRESSIONMED LLC
Entity type:Organization
Organization Name:EXPRESSIONMED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CEO
Authorized Official - Prefix:
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARKUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-438-7189
Mailing Address - Street 1:2112 BROADWAY ST NE STE 125
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-3037
Mailing Address - Country:US
Mailing Address - Phone:612-888-5997
Mailing Address - Fax:
Practice Address - Street 1:2112 BROADWAY ST NE STE 125
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-3037
Practice Address - Country:US
Practice Address - Phone:612-888-5997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies