Individual
MR. GREGG FARNAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 1ST AVE N, MINNEAPOLIS, MN 55403-1400
(612) 673-1368
Mailing address
22686 JESSA PL, ROGERS, MN 55374-5821
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1353
MN
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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