Individual
GAVIN PATRICK MEANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1406 6TH AVENUE NORTH, ST. CLOUD HOSPITAL, ST. CLOUD, MN 56303-1901
(320) 251-2700
(320) 229-5109
Mailing address
1900 CENTRACARE CIR # 2475, CENTRACARE HEALTH PLAZA, SAINT CLOUD, MN 56303-5000
(320) 229-5199
(320) 229-5109
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
55711
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2010
Last updated
12/21/2012
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