Individual
TIMOTHY AARON GABRIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(952) 993-3230
Mailing address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(952) 993-3230
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35385
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
653725100
—
MN
Enumeration date
10/11/2006
Last updated
03/29/2019
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