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Individual

GREGORY HORSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-1000
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
107240
MN
2085R0202X
Diagnostic Radiology Physician
Primary
57237
MN
2085R0202X
Diagnostic Radiology Physician
82012
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
82012
MEDICAL LICENSE
AZ
Enumeration date
07/13/2007
Last updated
03/12/2021
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