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Individual

ROBERT GAUVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
40 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-4884
(508) 746-8600
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3630

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
171935
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA0547
BLUE CROSS OF MA
MA
Enumeration date
02/21/2006
Last updated
07/18/2025
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