Organization
DAVID L. GILBERTSON, DO, PA
Active
Other names
ST ANTHONY PARK CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LEE GILBERTSON DO (PRESIDENT)
(651) 646-2549
Entity
Organization
Contact information
Practice address
2315 COMO AVE, SAINT PAUL, MN 55108-1723
(651) 646-2549
(651) 646-2480
Mailing address
2315 COMO AVE, SAINT PAUL, MN 55108-1723
(651) 646-2549
(651) 646-2480
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
6251520
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25Y48AN
BLUECROSS BLUESHIELD
MN
Enumeration date
08/20/2006
Last updated
08/22/2020
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