Organization
BRIAN J GRETEMAN, DPM, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN JOSEPH GRETEMAN DPM (PRESIDENT)
(763) 422-0233
Entity
Organization
Contact information
Practice address
3883 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2518
(763) 422-0233
(763) 422-9640
Mailing address
3883 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2518
(763) 422-0233
(763) 422-9640
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
435
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
873725800
—
MN
Enumeration date
03/22/2010
Last updated
09/29/2010
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