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Individual

GREGORY J SPERLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2874
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(218) 732-2800
(218) 732-2874

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32438
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0106018
MEDICA #
MN
01
0106019
MEDICA #
MN
01
0106878
MEDICA #
MN
05
033790100
MN
01
10082
NDBS #
MN
01
102766
UCARE #
MN
05
13182
MN
01
40458SP
MNBS #
MN
01
40459SP
MNBS #
MN
01
40460SP
MNBS #
MN
01
865203
AMERICA'S PPO/ARAZ #
MN
01
DA9041000301
PREFERRED ONE #
MN
01
HP19562
HEALTHPARTNERS #
MN
01
MN100007
LHS/BANNERHEALTH #
MN
Enumeration date
06/08/2006
Last updated
11/09/2011
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