Individual
DR. JONATHAN PAUL GERVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D
Contact information
Practice address
2015 LAKEVIEW DR, DULUTH, MN 55803-2414
(218) 724-5027
Mailing address
2015 LAKEVIEW DRIVE, DULUTH, MN 55803
(218) 724-5027
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
332156
WI
231H00000X
Audiologist
Primary
6443
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
443928700
—
MN
Enumeration date
06/16/2006
Last updated
05/31/2012
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