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Contact Information

DOUGLAS L GERVAIS, MD
4825 OLSON MEMORIAL HWY
#200
MINNEAPOLIS, MN55422
 Phone: 763-545-0443
 Fax: 763-545-2784
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DOUGLAS L GERVAIS · (Male)

NPI # 1801864814
Status Active
Credentials MD
Entity Individual
Enumeration date 03/08/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 38691
  • MN Other 17A56GE BLUE CROSS
Hospital affiliation(s) Not Available
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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