Individual
TODD J GAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35388
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0802344
MEDICA
MN
01
—
115539
UCARE
MN
01
—
180021519
RR MEDICARE
—
01
—
1M469GA
BCBS
MN
01
—
41084933956001C043
CHAMPUS
—
05
—
676207700
—
MN
05
—
937847
—
IA
01
—
970917
AMERICAS PPO
MN
01
—
HP25582
HEALTH PARTNERS
MN
01
—
NA2951011001
PREFERRED ONE
MN
Enumeration date
01/10/2006
Last updated
10/27/2022
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