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Organization

CENTRAL MINNESOTA SLEEP SPECIALISTS, PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TODD MICHAEL GREATENS M.D. (CHIEF MANAGER AND CFO)
(218) 963-7302
Entity
Organization

Contact information

Practice address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 828-7100
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
01/15/2007
Last updated
09/07/2007
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