is a Sleep Medicine in , . practices all healthcare services and medical treatments related to Sleep Medicine. The NPI Number for is 1275585861. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
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| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1275585861 |
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Provider Mailing Address Detail
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| State | () |
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Provider's Primary Taxonomy Detail
| Speciality | Sleep Medicine |
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| Taxonomy | 2084S0012X |
| Licence No | 37630 |
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Definition: A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorder |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130001292 | MN | MEDICARE PTAN | |
| 221028200 | MN | -- |
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