Gremmels, David Bryan

Gremmels, David Bryan is an individual health care provider with primary practice located at 6500 Excelsior Blvd , St Louis Park MN 55426-4702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Gremmels, David Bryan can be contacted via phone (952) 993-1000.

Contact Information

Primary practice address
6500 Excelsior Blvd St Louis Park MN 55426-4702
Phone: (952) 993-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 45722 Minnesota

Profile Details

NPI number 1508813452
LBN Legal business name Gremmels, David Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Mar 17th, 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 1508813452 NPPES
Minnesota MEDICAID 737689800
Minnesota MEDICAID 34387100

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