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Individual

GREGORY GERALD AUSMUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
407 E 3RD ST, DULUTH, MN 55805
(218) 786-4000
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-4222

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
12450
ND
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
49918
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17803
ND
Enumeration date
01/20/2007
Last updated
06/20/2018
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