| Southern Minnesota Sleep Center, Pllc | |
|
170 Landmark Dr Ne Ste A Owatonna MN 55060-1590 | |
| (612) 501-1577 | |
| Not Available |
| Full Name | Southern Minnesota Sleep Center, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 170 Landmark Dr Ne Ste A, Owatonna, Minnesota |
| Authorized Official Name and Position | Kurt Daniel Erickson (DENTIST/CEO) |
| Authorized Official Contact | 6125011577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Minnesota Sleep Center, Pllc 110 1st St N Montgomery MN 56069-1514 Ph: (612) 501-1577 | Southern Minnesota Sleep Center, Pllc 170 Landmark Dr Ne Ste A Owatonna MN 55060-1590 Ph: (612) 501-1577 |
| NPI Number | 1003636911 |
|---|---|
| Provider Enumeration Date | 10/15/2024 |
| Last Update Date | 10/15/2024 |
| Medicare PECOS PAC ID | 1456791250 |
|---|---|
| Medicare Enrollment ID | O20250107002317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003636911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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