Individual
DR. SAMUEL GERVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
601 JACOB LN, ANOKA, MN 55303
(763) 587-4200
(763) 587-4205
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
(763) 587-4200
(763) 587-4205
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
964
MN
Other
Enumeration date
06/24/2014
Last updated
04/29/2021
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