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Individual

PHILIP A GASSELING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12666
NE
208000000X
Pediatrics Physician
Primary
59384
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03429
BCBS
05
47064194537
NE
Enumeration date
10/31/2006
Last updated
11/23/2015
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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