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Individual

GARY L BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
(612) 625-0925
Mailing address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414-2924
(612) 884-0649
(612) 676-8992

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
25554
WI
207RR0500X
Rheumatology Physician
Primary
49492
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30532900
WI
Enumeration date
06/10/2005
Last updated
07/21/2022
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