Individual
GERALD THOMAS OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 E 2ND ST, DULUTH, MN 55805-1913
(218) 786-5360
Mailing address
530 E 2ND ST, DULUTH, MN 55805-1913
(218) 786-5360
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3072
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HP39483
HEALTHPARTNERS
—
Enumeration date
07/09/2006
Last updated
07/08/2007
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