Individual provider · Type 1 NPI

Gregg N. Dyste, MD

Specialist · Coon Rapids, MN

NPI number 1649219171 Active

Practice location

11850 Blackfoot St NW, Suite 490
Coon Rapids, MN 55433-2578

Call (763) 427-1137 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X32612 (MN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1649219171

Gregg N. Dyste, MD's National Provider Identifier is 1649219171, issued on Jun 6, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Coon Rapids, MN. The record was last updated on Jul 20, 2015.