Individual
JEANNE GAMBUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 E LAKE ST, MINNEAPOLIS, MN 55406-1963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-5334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61660
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2014
Last updated
03/17/2018
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