Individual
PAUL GREGORY GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-4495
Mailing address
14681 DENMARK CT, APPLE VALLEY, MN 55124-7799
(952) 221-5996
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
1627738
MN
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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