Gerald A Madir

NPI 1497957104 - Clinic/Center - 261Q00000X

NPI Details
NPI 1497957104
Enumeration Date 06/04/2007
Last Updated 06/23/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GERALD A GERALD
Position SOLE PROPRIETOR
Phone (952) 942-5170
Fax (952) 942-6295
Practice Location
9336 ENSIGN AVE S
BLOOMINGTON MN, 55438-1455, US
Phone (952) 942-5170
Fax (952) 942-6295
Business Location
9336 ENSIGN AVE S
BLOOMINGTON MN, 55438-1455, US
Phone (952) 942-5170
Fax (952) 942-6295
Toxanomy
Taxonomy Code 261Q00000X
License State Minnesota
License Number 1447
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According to our database, Gerald A Madir NPI is 1497957104, taxonomy code is 261Q00000X and license number is 1447, license state is located at Minnesota. Gerald A Madir physically located at 9336 Ensign Ave S, Bloomington MN, 55438-1455. NPI Number 1033115704 has the healthcare provider type.

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1497957104 NPI number is provided on an as is basis without warranty of any kind. 1497957104 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald A Madir are for informational purposes only.