Individual
MR. GABRIEL GLOVATSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3900 BETHEL DR, SAINT PAUL, MN 55112-6902
(651) 631-6400
Mailing address
3444 132ND LN NW, COON RAPIDS, MN 55448-1071
(763) 331-1363
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
87370
MN
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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