Individual
DR. DANIEL LEE GATLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
142 WESTCHESTER DR, WEST SAINT PAUL, MN 55118-2511
(651) 457-7171
Mailing address
142 WESTCHESTER DR, WEST SAINT PAUL, MN 55118-2511
(651) 457-7171
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
47204
MN
208600000X
Surgery Physician
Primary
47204
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034990900
—
MN
Enumeration date
05/26/2006
Last updated
09/24/2016
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