Individual
GILBERT W MOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
219 GRANT UTLEY AVE, CASS LAKE, MN 56633-0067
(218) 335-2559
(218) 335-2755
Mailing address
PO BOX 67, 219 GRANT UTLEY AVE, CASS LAKE, MN 56633-0067
(218) 335-2559
(218) 335-2755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21626
MN
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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