Richard S. Gregory MD - Surgery Physician in Saint Paul, Minnesota | ProviderWire

Full Name

Richard S Gregory MD

NPI Number

1063476547

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/13/2006

Specialties

(Taxonomies)

Name

Surgery Physician

Code

208600000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

18727

Contact
Information

Purpose

Mailing

Location

Address

2925 CHICAGO AVE

225 SMITH AVE N

City

Minneapolis

Saint Paul

State

MN

MN

Postal Code

55407-1321

55102-2533

Country

US

US

Telephone Number

(612) 262-5000

(651) 241-6550

Identifiers

Identifier

18727

278588900

Identifier State

MN

MN

Identifier Issuer

MN MEDICAL LICENSE

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/16/2011

Provider Address

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