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Individual

DR. JOHN ANKER GJEVRE SR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
415 OAK ST, BRECKENRIDGE, MN 56520-1242
(218) 643-3000
(218) 643-7502
Mailing address
1325 S RIVER DR, MOORHEAD, MN 56560-4055
(218) 236-8566

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18597
MN
207R00000X
Internal Medicine Physician
3403
MN

Other

Enumeration date
06/25/2006
Last updated
07/08/2007
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