Organization Name: | SLEEP CENTER OF CENTRAL MINNESOTA LLC |
NPI Number: | 1134313208 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREG SWIRTZ (SECRETARY TREASURE) |
Mailing Address: | 13495 Elder Drive Suite 120 Baxter |
State: | MN US |
Postal Code: | 56425 |
Phone Number: | 6127908762 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2007 |
NPI Last Update Date: | 06/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |