Individual
DR. GORDON AAMOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2512 S 7TH ST, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55454
(612) 273-9400
Mailing address
2512 SOUTH 7TH STREET, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55454
(612) 273-9400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20722
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
783575200
—
MN
01
—
E020
CHAMPUS/TRIWEST
—
Enumeration date
08/09/2006
Last updated
07/09/2007
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