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Individual

DR. GEORGE GORDON BEMIS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
23461 GRANDVIEW TRL, LAKEVILLE, MN 55044-7288
(952) 461-4206
Mailing address
23461 GRANDVIEW TRL, LAKEVILLE, MN 55044-7288
(952) 461-4206

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25802
MN
207VG0400X
Gynecology Physician
Primary
25802
MN

Other

Enumeration date
12/08/2009
Last updated
12/08/2009
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