Individual
RICHARD S GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 SMITH AVE N, SUITE 200, SAINT PAUL, MN 55102-2533
(651) 241-6550
(651) 241-6586
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18727
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18727
MN MEDICAL LICENSE
MN
05
—
278588900
—
MN
Enumeration date
04/13/2006
Last updated
12/16/2011
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