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Individual

ROXANNA GAPSTUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 857-1555
Mailing address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 857-1555

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
MN R1056891
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MN R1056891
STATE LICENSE NUMBER
MN
Enumeration date
06/29/2009
Last updated
06/29/2009
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