Individual
JOHN A GERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MBA
Contact information
Practice address
19131 TAYLOR ST NE, EAST BETHEL, MN 55011-4422
(763) 392-5443
Mailing address
15856 LINNET ST NW, ANDOVER, MN 55304-2686
(763) 221-1424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5477
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049509300
—
MN
Enumeration date
05/06/2006
Last updated
08/14/2025
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