Geller, Gary Richard

Geller, Gary Richard is an individual health care provider with primary practice located at 565 Snelling Ave S , Saint Paul MN 55116-1525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Geller, Gary Richard can be contacted via phone (651) 698-0386.

Contact Information

Primary practice address
565 Snelling Ave S Saint Paul MN 55116-1525
Fax: (651) 698-0483
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 19470 Minnesota

Profile Details

NPI number 1902803125
LBN Legal business name Geller, Gary Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jan 23rd, 2013 - about 11 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 1902803125 NPPES
Minnesota MEDICAID 729882000

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