| North Central Cardiovascular Diagnostics, Llc | |
|
2024 S 6th St Brainerd MN 56401-4529 | |
| (218) 855-5280 | |
| (218) 855-5284 |
| Full Name | North Central Cardiovascular Diagnostics, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2024 S 6th St, Brainerd, Minnesota |
| Authorized Official Name and Position | Gerald L Pietz (SEC/TREAS) |
| Authorized Official Contact | 6128636175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Central Cardiovascular Diagnostics, Llc 920 E 28th St Suite 500 Minneapolis MN 55407-1139 Ph: (612) 863-3900 | North Central Cardiovascular Diagnostics, Llc 2024 S 6th St Brainerd MN 56401-4529 Ph: (218) 855-5280 |
| NPI Number | 1871533802 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871533802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Minnesota) | Primary |
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