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Gem Health Specialty Sleep Services Of Minnesota PC

Clinic/Center, Sleep Disorder Diagnostic in White Bear Lake, MN. Organization (NPI-2).

NPI number1346969417
StatusActive
Last updated in NPPESNov 21, 2023

Details

NPI
1346969417
Entity type
Organization (NPI-2)
Legal business name
Gem Health Specialty Sleep Services Of Minnesota PC
Organization subpart
No
Enumeration date
Aug 23, 2022
Certification date
Nov 21, 2023
Last updated
Nov 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1200X Clinic/Center, Sleep Disorder Diagnostic––Yes
207QS1201X Family Medicine, Sleep Medicine––

Practice location

2214 5th St Ste 5
White Bear Lake, MN 55110-3039

Phone 651-216-3664

Mailing address

2214 5th St Ste 5
White Bear Lake, MN 55110-3039

Authorized official

Brian J Sauer
Manager
6512163664

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