# CENTRAL MINNESOTA SLEEP SPECIALISTS, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780735993
- **Authorized official:** DR. TODD MICHAEL GREATENS M.D. (CHIEF MANAGER AND CFO)
- **Authorized official phone:** (218) 963-7302

## Contact information

- **Practice address:** 523 N 3RD ST, BRAINERD, MN 56401-3054
- **Practice address phone:** (218) 828-7100
- **Mailing address:** PO BOX 750, NISSWA, MN 56468-0750
- **Mailing address phone:** (218) 963-7302
- **Mailing address fax:** (218) 961-0880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 35397 | MN | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 35397 | MN | — |

## Other

- **Enumeration date:** 01/15/2007
- **Last updated:** 09/07/2007