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Ambulatory Health Care Facilities Clinic/Center Sleep Disorder Diagnostic

Provider NPI: 1437705506

Organization Information:
Organization is not Subpart
Authorized Official:  GREGORY  SWIRTZ  PRESIDENT  763-354-7647

Practice Location:
403 STAGELINE RD  HUDSON, WI 54016-7848 US
Tel: 715-531-6822  Fax: 715-377-1337

Business Mailing Address:
10600 OLD COUNTY ROAD 15 STE 140  PLYMOUTH, MN 55441-6201 US
Tel: 763-354-7647  Fax: 763-354-7672

NPI Information:
NPI: 1437705506
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N261QS1200XAmbulatory Health Care Facilities
Sleep Disorder Diagnostic
Durable Medical Equipment & Medical Supplies

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 332B00000X





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