Individual
JOHN S GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14000 NICOLLET AVE, BURNSVILLE, MN 55337-5790
(952) 428-0200
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27259
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090077000
—
MN
Enumeration date
08/16/2005
Last updated
11/18/2011
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