Central Minnesota Sleep Specialists, PLC

Organization Active NPI Pulmonary Disease Physician · Brainerd, MN

NPI 1780735993 · NPPES record last updated Sep 7, 2007

Key facts

NPI
1780735993
Entity type
Organization (NPI type 2)
Primary specialty
Pulmonary Disease Physician 207RP1001X
License
35397 (MN)
Legal business name
CENTRAL MINNESOTA SLEEP SPECIALISTS, PLC
Practice address
523 N 3Rd St
Brainerd, MN 56401-3054
Phone
(218) 828-7100
NPI assigned
Jan 15, 2007
Organization subpart
No

Authorized official

Name
Dr. Todd Michael Greatens, M.D.
Title
Chief Manager and Cfo
Phone
(218) 963-7302

National Provider Directory

Locations

13495 Elder Dr
Ste 110
Baxter, MN 56425
Phone (218) 454-0104

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RP1001X 35397 MN Yes
Sleep Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RS0012X 35397 MN

Addresses

Primary practice location

523 N 3Rd St
Brainerd, MN 56401-3054

Mailing address

PO Box 750
Nisswa, MN 56468-0750
Phone (218) 963-7302

Other providers in Brainerd, MN

All providers in Brainerd, MN · Pulmonary Disease Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.