Mevissen, Gregory Gerald
Mevissen, Gregory Gerald is an individual health care provider with primary practice located at 3366 Oakdale Ave N Suite 315, Robbinsdale MN 55422-2948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mevissen, Gregory Gerald can be contacted via phone (763) 520-7900.Contact Information
Primary practice address
3366 Oakdale Ave N Suite 315
Robbinsdale MN 55422-2948
Phone: (763) 520-7900
Fax: (763) 520-7989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 33592 | Minnesota |
Profile Details
| NPI number | 1295763837 |
|---|---|
| LBN Legal business name | Mevissen, Gregory Gerald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295763837 | NPPES |
| Minnesota | MEDICAID | 121892100 |
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