Individual
GARY ROBERT KRAVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 SLOAN PL, STE 200, ST PAUL, MN 55117-2074
(651) 772-6235
(651) 772-6261
Mailing address
1959 SLOAN PL, STE 200, ST PAUL, MN 55117-2074
(651) 772-6235
(651) 772-6261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24327
MN
207RI0200X
Infectious Disease Physician
Primary
24327
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899307600
—
MN
Enumeration date
04/27/2006
Last updated
05/05/2020
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