Individual
DR. EDWARD RAINIER GAMBOA SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15700 37TH AVE N STE 150, PLYMOUTH, MN 55446-3675
(651) 968-5201
(651) 968-5904
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5201
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
47367
MN
Other
Enumeration date
09/06/2006
Last updated
03/09/2021
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