Individual
DR. JED GORLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
737 PELHAM BLVD, SAINT PAUL, MN 55114-1739
(651) 332-7284
(651) 332-7025
Mailing address
737 PELHAM BLVD, SAINT PAUL, MN 55114-1739
(651) 332-7284
(651) 332-7025
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
39988
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032170100
—
MN
Enumeration date
06/18/2006
Last updated
05/11/2017
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