Gerald D. Mcellistrem, M. D., P. A.

NPI 1437305810 - Clinic/Center - 261Q00000X

NPI Details
NPI 1437305810
Enumeration Date 08/17/2008
Last Updated 08/17/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GERALD D GERALD
Position PHYSICIAN
Phone (651) 227-7051
Fax
Practice Location
443 HASKELL ST E
WEST SAINT PAUL MN, 55118-1600, US
Phone (651) 227-7051
Fax
Business Location
443 HASKELL ST E
WEST SAINT PAUL MN, 55118-1600, US
Phone
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Minnesota
License Number 13266
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According to our database, Gerald D. Mcellistrem, M. D., P. A. NPI is 1437305810, taxonomy code is 261Q00000X and license number is 13266, license state is located at Minnesota. Gerald D. Mcellistrem, M. D., P. A. physically located at 443 Haskell St E, West Saint Paul MN, 55118-1600. NPI Number 1033115704 has the healthcare provider type.

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1437305810 NPI number is provided on an as is basis without warranty of any kind. 1437305810 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald D. Mcellistrem, M. D., P. A. are for informational purposes only.