Individual
BRIAN D GERVAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6104 OLSON MEMORIAL HWY, SUITE 100, GOLDEN VALLEY, MN 55422-4919
(612) 500-2628
Mailing address
6104 OLSON MEMORIAL HWY, SUITE 100, GOLDEN VALLEY, MN 55422-4919
(612) 500-2628
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
6130
MN
Other
Enumeration date
04/29/2008
Last updated
06/13/2016
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