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Individual

GEMMA C LIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, FACP

Contact information

Practice address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 251-2700
(320) 762-6847
Mailing address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 251-2700
(320) 762-6847

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
47433
MN
207R00000X
Internal Medicine Physician
47433
MN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
117433
MN
208M00000X
Hospitalist Physician
Primary
47433
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043684
PREFERRED ONE
MN
01
130786D277
UCARE
MN
01
2352948
AMERICA'S PPO
MN
05
276900000
MN
01
310G6LI
BLUE SHIELD
MN
01
3300205
MEDICA
MN
01
A028
CHAMPUS
MN
01
HP51319
HEALTH PARTNERS
MN
Enumeration date
01/26/2006
Last updated
03/28/2023
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