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Contact Information

RICHARD S GREGORY, MD
225 SMITH AVE N
SUITE 200
SAINT PAUL, MN55102-2533
 Phone: 651-241-6550
 Fax: 651-241-6586
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RICHARD S GREGORY · (Male)

NPI Number 1063476547
Status Active
Credentials MD
Entity Individual
Enumeration date 04/13/2006
Last updated 12/16/2011 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 18727
  • MN Medicaid 278588900
  • MN Other 18727 MN MEDICAL LICENSE
Hospital affiliation(s)
  • HEALTHEAST ST JOHN'S HOSPITAL - (Acute Care)
    1575 BEAM AVENUE
    MAPLEWOOD, MN 55109
  • HEALTHEAST WOODWINDS HOSPITAL - (Acute Care)
    1925 WOODWINDS DRIVE
    WOODBURY, MN 55125
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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