Individual
MR. GERALD ALLEN TAYLOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1510 24TH AVE N, SAINT CLOUD, MN 56303-1304
(320) 259-0208
(320) 259-0715
Mailing address
1510 24TH AVE N, SAINT CLOUD, MN 56303-1304
(320) 259-0208
(320) 259-0715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9274
MN
Other
Enumeration date
11/21/2005
Last updated
07/08/2007
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