Individual
DAVE GILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 E LINCOLN AVE, FERGUS FALLS, MN 56537-2216
(218) 736-6547
Mailing address
107 E LINCOLN AVE, FERGUS FALLS, MN 56537-2216
(218) 736-6547
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116036
MN
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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