Individual
ROBERT K GAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 OLD MINNESOTA AVE, MANKATO CLINIC AT DANIELS HEALTH CENTER, ST PETER, MN 56082
(507) 934-2325
Mailing address
PO BOX 8674, 1230 E MAIN STREET MANKATO CLINIC LTD, MANKATO, MN 56001
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34593
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0123583
MEDICA
MN
05
—
057862200
—
MN
01
—
0937888
IOWA MA
—
01
—
0D977GA
BCBS
MN
01
—
115959
UCARE
MN
01
—
58088
SANFORD HEALTH PLAN
—
01
—
605646
AMERICAS PPO
—
01
—
HP25592
HEALTH PARTNERS
MN
01
—
NA2951023837
PREFERRED ONE
MN
Enumeration date
04/21/2006
Last updated
07/10/2020
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