Gray, David

Gray, David is an individual health care provider with primary practice located at 14000 Nicollet Ave Ste 100 , Burnsville MN 55337-5793. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gray, David can be contacted via phone (952) 428-0200.

Contact Information

Primary practice address
14000 Nicollet Ave Ste 100 Burnsville MN 55337-5793
Phone: (952) 428-0200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40304-020 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 40304-020 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 43240 Minnesota

Profile Details

NPI number 1053312256
LBN Legal business name Gray, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Nov 18th, 2011 - about 13 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 1053312256 NPPES
Wisconsin MEDICAID 32628600

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