| Gkramer, Llc | |
|
3333 W Division St Ste 119 Saint Cloud MN 56301-4548 | |
| (320) 774-1621 | |
| (320) 774-1624 |
| Full Name | Gkramer, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3333 W Division St Ste 119, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Greta Kramer (OWNER) |
| Authorized Official Contact | 3204939999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gkramer, Llc 3333 W Division St Ste 119 Saint Cloud MN 56301-4548 Ph: (320) 774-1621 | Gkramer, Llc 3333 W Division St Ste 119 Saint Cloud MN 56301-4548 Ph: (320) 774-1621 |
| NPI Number | 1053173781 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/28/2024 |
| Medicare PECOS PAC ID | 3173962693 |
|---|---|
| Medicare Enrollment ID | O20240417001557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053173781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Greta Joan Kramer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396827432 PECOS PAC ID: 4082053509 Enrollment ID: I20240417001651 |
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