Gary M Ivins MD

NPI 1083610356 - Internal Medicine - 207R00000X

NPI Details
NPI 1083610356
Gender Male
Enumeration Date 06/22/2005
Last Updated 11/13/2009
Entity Type Individual
Active Over 12 years ago
Practice Location
6545 FRANCE AVENUE SOUTH
SUITE 510
EDINA MN, 55435, US
Phone (952) 927-7079
Fax (952) 920-9758
Business Location
6545 FRANCE AVENUE SOUTH
SUITE 510
EDINA MN, 55435, US
Phone (952) 927-7079
Fax (952) 920-9758
Toxanomy
Taxonomy Code 207R00000X
License State Minnesota
License Number 37014
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According to our database, Dr. Gary M Ivins MD NPI is 1083610356, taxonomy code is 207R00000X and license number is 37014, license state is located at Minnesota. Gary M Ivins MD physically located at 6545 France Avenue South, Edina MN, 55435. NPI Number Gary M Ivins MD has the Individual type.

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1083610356 NPI number is provided on an as is basis without warranty of any kind. 1083610356 is maintained by the National Plan & Provider Enumeration System. The contents of Gary M Ivins MD are for informational purposes only.