Individual
GREGORY CHARLES DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18465 ORCHARD TRL STE 320, LAKEVILLE, MN 55044-2522
(612) 871-1145
Mailing address
18465 ORCHARD TRL, LAKEVILLE, MN 55044-8885
(952) 836-7590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301507068
MI
207RG0100X
Gastroenterology Physician
Primary
75869
MN
Other
Enumeration date
03/18/2018
Last updated
06/22/2024
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