Gerald D. Mcellistrem, M. D., P. A.
NPI #1437305810 in West Saint Paul, Minnesota
Provider Information
- NPI Number
- 1437305810
- Entity Type
- Organization
- Organization Name
- Gerald D. Mcellistrem, M. D., P. A.
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 17, 2008
- Last Updated
- Aug 17, 2008
Practice Location
- Address
- 443 HASKELL ST E
- City
- West Saint Paul
- State
- Minnesota
- ZIP Code
- 55118-1600
- Phone
- (651) 227-7051
Authorized Official
- Name
- GERALD D MCELLISTREM
- Title
- PHYSICIAN
- Phone
- (651) 227-7051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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