Organization
NORTHSTAR SLEEP CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA JANE MAYER (B.O. MANAGER)
(529) 852-5284
Entity
Organization
Contact information
Practice address
3800 COON RAPIDS BLVD NW, SUITE 3800, COON RAPIDS, MN 55433
(952) 567-7400
Mailing address
920 E 28TH ST, SUITE 700, MINNEAPOLIS, MN 55407-1139
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2011
Last updated
08/06/2018
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