Nathan Paul Gille, OPA-C

NPI #1699793349 in Fridley, Minnesota

Provider Information

NPI Number: 1699793349
Entity Type: Individual
Name: Nathan Paul Gille, OPA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: OPA-C
Enumeration Date: Jul 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 8290 UNIVERSITY AVE NE
Address 2: SUITE 200
City: Fridley
State: Minnesota
ZIP Code: 55432-1847
Phone: (763) 786-9543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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