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Gerald Leonard Engelsgjerd

Urology in Duluth, MN. Individual provider (NPI-1).

NPI number1992747281
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1992747281
Entity type
Individual (NPI-1)
Name
Gerald Leonard Engelsgjerd
Sex
Male
Sole proprietor
No
Enumeration date
Jun 12, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology18095MNYes

Practice location

400 E 3rd St
Duluth, MN 55805-1951

Phone 218-786-8364

Mailing address

400 E 3rd St
Duluth, MN 55805-1951

Phone 218-786-8364

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