Individual
DR. KEVIN P GILDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(218) 326-5000
Mailing address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(218) 329-5000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
41888
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0700801
MEDICA
MN
01
—
123771
UCARE
MN
01
—
160047021
RR MEDICARE
—
01
—
410849339 56001 C132
CHAMPUS
—
01
—
42B96GI
BCBS
MN
05
—
829521200
—
MN
01
—
88239
AMERICAS PPO
MN
01
—
HP29108
HEALTH PARTNERS
MN
01
—
NA2951023839
PREFERRED ONE
MN
Enumeration date
01/09/2006
Last updated
12/17/2015
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