Individual
DR. GARY M FINE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 NICOLLET MALL, MINNEAPOLIS, MN 55402-2606
(612) 332-1336
Mailing address
825 NICOLLET MALL, MINNEAPOLIS, MN 55402-2606
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8158
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008128
DORAL
MN
01
—
008653
DORAL
MN
Enumeration date
10/17/2005
Last updated
07/08/2007
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