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Contact Information

BRIAN J GRETEMAN, DPM, PA
3883 COON RAPIDS BLVD NW
COON RAPIDS, MN55433-2518
 Phone: 763-422-0233
 Fax: 763-422-9640
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRIAN J GRETEMAN, DPM, PA

NPI # 1932423878
LBN Legal business name BRIAN J GRETEMAN, DPM, PA
Authorized official BRIAN GRETEMAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/22/2010
Last updated 09/29/2010 - About 16 years ago
Identifiers
MN License # 435
MN Medicaid 873725800
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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