Individual
MR. BEN CHARLES GAILFUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10230 BALTIMORE ST NE STE 300, BLAINE, MN 55449-4674
(651) 968-5201
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105732
MN
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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