Individual
JOHN GAMBINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2275 LAUREL DR, ONTARIO, OR 97914-4107
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
042-0012331
VT
2085R0202X
Diagnostic Radiology Physician
Primary
MD19739
OR
Other
Enumeration date
05/03/2006
Last updated
10/04/2013
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