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Contact Information

GREGORY L ROBERTS, MD
219 GRANT UTELY AVE NW
CASS LAKE, MN56633
 Phone: 218-335-2559
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GREGORY L ROBERTS · (Male)

NPI Number 1699709592
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 04/29/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 30341
  • MN License # 36046
  • CO Medicaid 01303411
  • CO Other 080060522 RAIL ROAD MEDICARE
Hospital affiliation(s)
  • SANFORD BEMIDJI MEDICAL CENTER - (Acute Care)
    1300 ANNE ST NW
    BEMIDJI, MN 56601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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