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Organization
DAVID L. GILBERTSON, DO, PA
Active
Organization
DAVID L. GILBERTSON, DO, PA
Active
Other names
ST ANTHONY PARK CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LEE GILBERTSON DO (PRESIDENT)
(651) 646-2549
Entity
Organization
Contact information
Practice address
2315 COMO AVE, SAINT PAUL, MN 55108-1723
(651) 646-2549
(651) 646-2480
Mailing address
2315 COMO AVE, SAINT PAUL, MN 55108-1723
(651) 646-2549
(651) 646-2480
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
6251520
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25Y48AN
BLUECROSS BLUESHIELD
MN
Enumeration date
08/20/2006
Last updated
08/22/2020
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