Individual
GABRIELLE RIVARD-COURNEYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1021 BANDANA BLVD E, SAINT PAUL, MN 55108-5113
(651) 241-9700
(651) 241-9678
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11610
MN
Other
Enumeration date
07/15/2014
Last updated
11/10/2021
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