Individual
DR. KATHLEEN M GANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
451 DUNLAP ST N, SAINT PAUL, MN 55104-4619
(651) 647-2100
Mailing address
8170 33RD AVE S, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39347
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32378700
—
WI
01
—
39347
STATE LICENSE
WI
Enumeration date
08/03/2006
Last updated
03/07/2023
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