Individual
GRETCHEN M RIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3955 PARKLAWN AVE, MINNEAPOLIS, MN 55435-5655
(952) 831-4454
Mailing address
3955 PARKLAWN AVE, MINNEAPOLIS, MN 55435-5655
(952) 831-4454
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
45102
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
609883500
—
MN
Enumeration date
08/02/2005
Last updated
07/21/2022
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