MEDICARE: ROSENBLUM SLEEP THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1063800829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSENBLUM SLEEP THERAPY, LLC

Provider Business Mailing Address
First Line	:	4200 BASSWOOD RD
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55416-3849
Country	:	US
Telephone Number	:	844-676-6642
Fax Number	:	833-605-4075

Provider Business Practice Location Address
First Line	:	4200 BASSWOOD RD
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55416-3849
Country	:	US
Telephone Number	:	952-927-5337
Fax Number	:	888-965-1522

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARK ROSENBLUM
Credential	:	PSYD, LP
Telephone Number	:	844-676-6642

Provider Enumeration Date	:	01/02/2015
Last Update Date	:	06/08/2026

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