Individual
PHILIP A GASSELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 COMO AVENUE, ST. PAUL, MN 55108-1460
(952) 853-8800
(651) 641-6205
Mailing address
PO BOX 1309 MAIL STOP 21110Q, 8170 33RD AVE S, MINNEAPOLIS, MN 55425-4516
(952) 853-8800
(651) 641-6205
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
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