DR. Gary M Ivins, MD

NPI #1083610356 in Eden Prairie, Minnesota

Provider Information

NPI Number: 1083610356
Entity Type: Individual
Name: DR. Gary M Ivins, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jun 22, 2005
Last Updated: Oct 3, 2016

Practice Location

Address: 11905 THORNHILL RD
City: Eden Prairie
State: Minnesota
ZIP Code: 55344-3276
Phone: (612) 669-3091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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