Organization
NORTH CENTRAL CARDIOVASCULAR DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD L PIETZ (SEC/TREAS)
(612) 863-6175
Entity
Organization
Contact information
Practice address
2024 S 6TH ST, BRAINERD, MN 56401-4529
(218) 855-5280
(218) 855-5284
Mailing address
920 E 28TH ST, SUITE 500, MINNEAPOLIS, MN 55407-1139
(612) 863-3900
(612) 863-8887
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
MN
Other
Enumeration date
06/07/2006
Last updated
06/30/2008
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