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ALEXANDER GUSTAV WRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4855 W ARROWHEAD RD, HERMANTOWN, MN 55811-3936
(218) 786-3540
Mailing address
707 N IOWA ST, GUNNISON, CO 81230-2229
(970) 641-1456

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13023
MN

Other

Enumeration date
07/29/2019
Last updated
08/08/2022
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