Individual
BRIAN J GRETEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM, PA
Contact information
Practice address
3883 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2518
(763) 422-0233
(763) 422-9640
Mailing address
3883 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2518
(763) 422-0233
(763) 422-9640
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MN 435
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107452
U-CARE
—
01
—
109919
CHOICE PLUS
—
01
—
1685548
ARAZ
—
01
—
1B746GR
BC/BS (GROUP)
—
01
—
23283
GROUP HEALTH
—
01
—
27-25644
MEDICA
—
01
—
41-1984647
TRI-CARE
—
01
—
480032360
RR MEDICARE
—
01
—
75928
HEALTH PARTNERS
—
01
—
873725800
MN MA
—
05
—
873725800
—
MN
01
—
961510781001
PREFERRED ONE
—
01
—
9H364GR
BC/BS (PIN)
—
01
—
HP17598
HEALTH PARTNERS
—
Enumeration date
08/17/2005
Last updated
05/07/2008
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