Individual
DR. JAMES THEODORE GAENSBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 FIRST STREET SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 FIRST STREET SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
69997
MN
208000000X
Pediatrics Physician
DR.0050121
CO
2080P0208X
Pediatric Infectious Diseases Physician
Primary
69997
MN
2080P0208X
Pediatric Infectious Diseases Physician
DR.0050121
CO
Other
Enumeration date
04/25/2011
Last updated
01/16/2024
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