Individual
DR. GERALD LEE DENISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DVM
Contact information
Practice address
402 S. MAIN ST., GRAND MEADOW, MN 55936-0394
(507) 754-5165
Mailing address
26879 745TH AVE, GRAND MEADOW, MN 55936-8199
(507) 754-5165
(507) 754-7165
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
03069
MN
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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