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Organization
CENTRAL MINNESOTA SLEEP SPECIALISTS, PLC
Active
Organization
CENTRAL MINNESOTA SLEEP SPECIALISTS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD MICHAEL GREATENS M.D. (CHIEF MANAGER AND CFO)
(218) 963-7302
Entity
Organization
Contact information
Practice address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 828-7100
Mailing address
PO BOX 750, NISSWA, MN 56468-0750
(218) 963-7302
(218) 961-0880
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35397
MN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
35397
MN
Other
Enumeration date
01/15/2007
Last updated
09/07/2007
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