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General NPI Number Information
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NPI Number | 1750336137
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Entity Type | Individual
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Provider Name | GAIL LISA CLIFFORD MD
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 320 EAST MAIN STREET
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City | CROSBY
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State | MN
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Zip | 56441
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Country | US
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Telephone | 218-546-7000
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Fax | 218-546-4400
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Provider Business Mailing Address
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Address Line | 320 EAST MAIN STREET
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City | CROSBY
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State | MN
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Zip | 56441
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Country | US
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Telephone | 218-546-7000
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Fax | 218-546-4400
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34550
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | LT0835
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License Number State | SD
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD00042227
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 53447
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 53447
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 51080
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License Number State | MN
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