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Individual

DR. TERESA KAY GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
530 3RD ST NW, ELK RIVER, MN 55330-1445
(763) 587-4800
(763) 587-4845
Mailing address
18363 95TH PL N, MAPLE GROVE, MN 55311-1293
(763) 732-9322

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47660
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0407627
MEDICA
MN
01
1044102
PREFERRED ONE
MN
01
132980
UCARE MN
MN
01
2362915
AMERICA'S PPO
MN
01
334G6GR
BCBS OF MN
MN
05
749458100
MN
01
HP52698
HEALTHPARTNERS
MN
Enumeration date
04/10/2006
Last updated
01/17/2025
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