Individual
DR. MARLAND DALE GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C, MSPAS, PA-C
Contact information
Practice address
255 SMITH AVE N STE 100, SAINT PAUL, MN 55102-2518
(651) 241-7246
Mailing address
2104 NORTHDALE BLVD NW STE 220, MINNEAPOLIS, MN 55433-3046
(763) 537-6000
(763) 537-6666
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
5235
MN
363A00000X
Physician Assistant
10539
MN
363AS0400X
Surgical Physician Assistant
Primary
10539
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10539
PHYSICIAN ASSISTANT LICENCE
MN
01
—
5235
CHIROPRACTIC LICENSE
MN
Enumeration date
07/24/2006
Last updated
11/10/2020
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