Ibele, Gretchen M

Ibele, Gretchen M is an individual health care provider with primary practice located at 2220 Riverside Ave S Mail Stop 31700A, Minneapolis MN 55454-1321. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Ibele, Gretchen M can be contacted via phone (612) 371-1600.

Contact Information

Primary practice address
2220 Riverside Ave S Mail Stop 31700A Minneapolis MN 55454-1321
Phone: (612) 371-1600
Fax: (612) 371-1732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 25657 Minnesota

Profile Details

NPI number 1225004385
LBN Legal business name Ibele, Gretchen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Aug 22nd, 2019 - about 5 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 1225004385 NPPES
Minnesota MEDICAID 832007100

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