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Individual

DR. GREGORY SIMELGOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3001 BROADWAY ST NE STE 500, MINNEAPOLIS, MN 55413-2197
(612) 871-1145
(612) 870-5491
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
(612) 871-1145
(612) 870-5491

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1787-320
WI
207L00000X
Anesthesiology Physician
44092
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
183485100
MN
Enumeration date
08/31/2006
Last updated
03/10/2023
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