Individual
TODD M GREATENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 829-2861
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
12/07/2005
Last updated
09/07/2007
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