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Individual

MR. HOWARD ARNOLD GORDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1650 4TH ST SE, ROCHESTER, MN 55904-4717
(507) 529-6600
Mailing address
404 BENNETT AVE, MINNEISKA, MN 55910-9622
(507) 206-9867

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10389
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10389
STATE LICENSE #
MN
01
1074984
PANCE / NCCPA ID
Enumeration date
01/15/2008
Last updated
08/06/2024
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