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Individual

DR. GARY P MAYEUX JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 E 28TH ST # MR 11112, MINNEAPOLIS, MN 55407-3723
(612) 863-6590
(612) 863-5247
Mailing address
2829 UNIVERSITY AVE SE STE 730, MINNEAPOLIS, MN 55414-3279
(612) 863-4233
(612) 863-4233

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
54722
MN
207P00000X
Emergency Medicine Physician
Primary
54772
MN

Other

Enumeration date
07/08/2010
Last updated
06/29/2022
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