Individual provider · NPI-1

Gavin Thorsrud

Specialist/Technologist, Other, Biomedical Photographer · Minneapolis, MN

NPI number1568324341
StatusActive
Last updated in NPPESDec 1, 2025

Details

NPI
1568324341
Entity type
Individual (NPI-1)
Name
Gavin Thorsrud
Sex
Male
Sole proprietor
No
Enumeration date
Dec 1, 2025
Certification date
Dec 1, 2025
Last updated
Dec 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZB0302X Specialist/Technologist, Other, Biomedical Photographer––Yes

Practice location

1 Veterans Drive, Bldg. 70
Eye Clinic - 2e
Minneapolis, MN 55417

Phone 612-467-1092

Mailing address

1 Veterans Drive, Bldg. 70
Eye Clinic - 2e
Minneapolis, MN 55417

Phone 612-467-1092

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