Individual
DR. GAIL T GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4155 COUNTY ROAD 101 N, PLYMOUTH, MN 55446
(952) 993-8955
Mailing address
4155 COUNTY ROAD 101 N, PLYMOUTH, MN 55446-2307
(952) 993-8955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
63350
MN
207Q00000X
Family Medicine Physician
D0055104
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2323674
UNITED
—
01
—
3019264
AETNA PVN
—
05
—
478201100
—
MD
01
—
610101-01
CAREFIRST BCBS MARYLAND
—
01
—
W567-0010
CAREFIRST BCBS GHMSI
—
Enumeration date
01/26/2006
Last updated
06/11/2018
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