Individual
MR. MICHAEL E. GIBBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
801 PARK AVE, MINNEAPOLIS, MN 55404-1136
(612) 343-3265
(612) 343-3267
Mailing address
489 GRAND HL, SAINT PAUL, MN 55102-2612
(612) 343-3265
(612) 343-3267
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
R127647-7
MN
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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