Individual
GERALD DUANE GREGERSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
100 STATE AVE, FARIBAULT, MN 55021-6337
(507) 334-3921
(507) 332-5297
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0353
MN
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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