Individual
GAMALIEL JESSE FERRER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1555 NORTHWAY DR STE 200, SAINT CLOUD, MN 56303-4913
(320) 240-3157
(320) 240-3164
Mailing address
1555 NORTHWAY DR STE 200, SAINT CLOUD, MN 56303-4913
(320) 240-3157
(320) 240-3164
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
69334
MN
207Q00000X
Family Medicine Physician
Primary
M-2326
GU
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2019
Last updated
01/11/2023
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