Organization
CENTRAL MINNESOTA SURGEONS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN ROBERT GLASS MD (PRESIDENT)
(320) 251-5676
Entity
Organization
Contact information
Practice address
2000 23RD STREET SOUTH, SUITE 300, SARTELL, MN 56377-4768
(320) 251-5676
(320) 251-0623
Mailing address
2000 23RD STREET SOUTH, SUITE 300, SARTELL, MN 56377-4768
(320) 251-5676
(320) 251-0623
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40020CE
BLUE SHIELD
MN
05
—
488808100
—
MN
Enumeration date
08/19/2006
Last updated
09/13/2010
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