Gregory L. Roberts M.D.
Family Medicine Physician in Cass Lake, MN(View on Map)
Full Name
Gregory L Roberts M.D.
NPI Number
1699709592
NPI Type
Individual Provider
Gender
Male
Enumeration Date
07/10/2006
Specialties
(Taxonomies)Licenses
State
Colorado
Minnesota
License Number
30341
36046
Contact
Information
Purpose
Mailing
Location
Address
219 GRANT UTELY AVE NW
219 GRANT UTELY AVE NW
City
Cass Lake
Cass Lake
State
MN
MN
Postal Code
56633
56633
Country
US
US
Telephone Number
N/A
(218) 335-2559
Identifiers
Identifier
080060522
01303411
Identifier State
CO
CO
Identifier Issuer
RAIL ROAD MEDICARE
Unknown
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
groberts1841988@direct.sanfordhealth.org
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
219 Grant Utely Ave NWCass Lake, MN56633US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/29/2022
Provider Address
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