Organization
LAND OF LAKES ENDODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW M GRAU DDS (OWNER)
(651) 439-8764
Entity
Organization
Contact information
Practice address
2850 CURVE CREST BLVD W STE 115, STILLWATER, MN 55082-6101
(651) 439-8764
(651) 439-9660
Mailing address
2850 CURVE CREST BLVD W STE 115, STILLWATER, MN 55082-4073
(651) 439-8764
(651) 439-9660
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
11312
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237L1LA
BCBS
MN
Enumeration date
05/02/2007
Last updated
02/16/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us