Individual
JOHN ROBERT GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6200 SHINGLE CREEK PKWY, SUITE 250, BROOKLYN CENTER, MN 55430-2128
(763) 544-0696
Mailing address
6200 SHINGLE CREEK PKWY, SUITE 260, BROOKLYN CENTER, MN 55430-2128
(763) 561-5349
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
32388
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103617C028
UCARE
MN
01
—
3124729
MEDICA
MN
05
—
31709300
—
WI
01
—
33007
PREFERRED ONE
MN
05
—
427392300
—
MN
01
—
HP13411
HEALTHPARTNERS
MN
01
—
IM0129
AMERICA'S PPO
MN
Enumeration date
07/21/2006
Last updated
03/11/2021
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