Gazzola, Robert K

Gazzola, Robert K is an individual health care provider with primary practice located at 1901 Old Minnesota Ave Mankato Clinic At Daniels Health Center, St Peter MN 56082. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gazzola, Robert K can be contacted via phone (507) 934-2325.

Contact Information

Primary practice address
1901 Old Minnesota Ave Mankato Clinic At Daniels Health Center St Peter MN 56082
Phone: (507) 934-2325
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34593 Minnesota

Profile Details

NPI number 1457317349
LBN Legal business name Gazzola, Robert K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Jul 10th, 2020 - about 4 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 1457317349 NPPES
Minnesota MEDICAID 057862200
Minnesota Other NA2951023837
Minnesota Other 0937888
Minnesota Other 605646
Minnesota Other HP25592
Minnesota Other 0123583
Minnesota Other 115959
Minnesota Other 0D977GA
Minnesota Other 58088

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