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Contact Information

NATHAN W GILBERTSON, PA-C
4570 COUNTY HIGHWAY 61
MOOSE LAKE, MN55767
 Phone: 218-485-4491
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NATHAN W GILBERTSON · (Male)

NPI Number 1336203686
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/21/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 11706
  • FL Medicaid 292669500
Hospital affiliation(s)
  • ESSENTIA HEALTH SANDSTONE - (Critical Access)
    109 COURT AVE SOUTH
    SANDSTONE, MN 55072
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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