Individual
MRS. GAIL CHIRA DORFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1747 FORD PKWY, SAINT PAUL, MN 55116-2140
(651) 690-4100
(651) 690-4100
Mailing address
1747 FORD PKWY, SAINT PAUL, MN 55116-2140
(651) 690-4100
(651) 690-4100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3374030000
MN HEALTH CARE PROGRAMS
MN
Enumeration date
01/29/2008
Last updated
01/29/2008
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