Northwind Sleep | |
7240 Brooklyn Blvd Brooklyn Park MN 55429-1274 | |
(612) 875-2733 | |
(763) 428-8495 |
Full Name | Northwind Sleep |
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Speciality | Internal Medicine |
Location | 7240 Brooklyn Blvd, Brooklyn Park, Minnesota |
Authorized Official Name and Position | Ranadene K Tapio (CREDENTIALING) |
Authorized Official Contact | 3202906448 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northwind Sleep 7240 Brooklyn Blvd Brooklyn Park MN 55429-1274 Ph: () - | Northwind Sleep 7240 Brooklyn Blvd Brooklyn Park MN 55429-1274 Ph: (612) 875-2733 |
NPI Number | 1972906097 |
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Provider Enumeration Date | 10/02/2014 |
Last Update Date | 04/29/2015 |
Medicare PECOS PAC ID | 6709192651 |
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Medicare Enrollment ID | O20150909000017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972906097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Cornelia Dahm |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487729273 PECOS PAC ID: 5698776656 Enrollment ID: I20070118000387 |
Provider Name | Teresa M Tawil |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912973884 PECOS PAC ID: 0840335287 Enrollment ID: I20100309000938 |
Provider Name | Thomas G Wilson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316495401 PECOS PAC ID: 4284916727 Enrollment ID: I20170118002240 |
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