Individual
DAVID E GANGENESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
927 TRETTEL LN, CLOQUET, MN 55720-1345
(218) 879-1227
(218) 878-2179
Mailing address
927 TRETTEL LN, CLOQUET, MN 55720-1345
(218) 879-1227
(218) 878-2179
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
112792
MN
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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