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Individual

DR. DAVID BRYAN GREMMELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-1000
Mailing address
8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
45722
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34387100
WI
05
737689800
MN
Enumeration date
05/27/2006
Last updated
03/17/2020
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