Individual
DR. TATE ALAN GISSLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, UNIVERSITY OF MINNESOTA AMPLATZ CHILDREN'S HOSPITAL, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
720 WASHINGTON AVE SE, SUITE 300, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414-2940
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
106856
MN
Other
Enumeration date
08/08/2007
Last updated
08/15/2013
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