Doctor Name: | CRIS L GILB |
NPI Number: | 1578896361 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MN17275 |
License Number: | |
Business Practice Address: | 607 W Main St Llmp Public Health Services Marshall, MN - 56258 |
Business Phone Number: | 5075376713 |
Business Fax Number: | 5075376713 |
Mailing Address: | 607 W Main St, Llmp Public Health Services MARSHALL |
State: | MN |
Postal Code: | 56258 |
Phone Number: | 5075376713 |
Fax Number: | 5075376719 |
NPI Enumeration Date: | 09/10/2009 |
NPI Last Update Date: | 09/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |