Individual
GARY J ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 PHALEN BLVD, MAIL STOP 41104A, SAINT PAUL, MN 55101-5302
(651) 254-7980
(651) 254-7969
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
(952) 883-5790
(952) 853-8727
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
43780
MN
2086S0129X
Vascular Surgery Physician
Primary
43780
MN
Other
Enumeration date
03/20/2006
Last updated
04/17/2019
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