Organization
MNGI DIGESTIVE HEALTH, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE M PETERSON CPCS (SENIOR BUSINESS OFFICE ANALYST)
(612) 870-5557
Entity
Organization
Contact information
Practice address
3001 BROADWAY ST NE STE 500, MINNEAPOLIS, MN 55413
(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
207RG0100X
Gastroenterology Physician
Primary
593
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329508700
—
MN
Enumeration date
06/29/2006
Last updated
06/25/2026
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