Defor, Gregory S

Defor, Gregory S is an individual health care provider with primary practice located at 5625 Cenex Dr , Inver Grove Heights MN 55077-1724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Defor, Gregory S can be contacted via phone (651) 552-2600.

Contact Information

Primary practice address
5625 Cenex Dr Inver Grove Heights MN 55077-1724
Phone: (651) 552-2600
Fax: (651) 552-2614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38410 Minnesota

Profile Details

NPI number 1265496954
LBN Legal business name Defor, Gregory S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265496954 NPPES
Minnesota MEDICAID 067718300

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