Healthcare Provider Details

I. General information

NPI: 1083036222
Provider Name (Legal Business Name): DR. GREGORY PAUL GILMET
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 HARDING ST NE # 100
MINNEAPOLIS MN
55413-2801
US

IV. Provider business mailing address

401 HARDING ST NE # 100
MINNEAPOLIS MN
55413-2801
US

V. Phone/Fax

Practice location:
  • Phone: 888-709-9344
  • Fax:
Mailing address:
  • Phone: 888-709-9344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number41471
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: