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Individual

DR. BRETT GEMLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1983 SLOAN PL, # 11, SAINT PAUL, MN 55117-2087
(651) 312-1620
(651) 312-1570
Mailing address
3433 BROADWAY ST NE STE 115, MINNEAPOLIS, MN 55413-1759
(651) 312-1500
(651) 312-1570

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
33764
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
518707900
MN
Enumeration date
08/05/2006
Last updated
02/26/2018
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