DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GREGORY S DEFOR MD

MEDICARE: GREGORY S DEFOR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician38410MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265496954
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY S DEFOR MD
Provider Business Mailing Address
First Line : 8170 33RD AVE S
Second Line : MS21110Q
City : BLOOMINGTON
State : MN
Zip : 55425-4516
Country : US
Telephone Number : 651-552-2600
Fax Number : 651-552-2614
Provider Business Practice Location Address
First Line : 5625 CENEX DR
Second Line :
City : INVER GROVE HEIGHTS
State : MN
Zip : 55077-1724
Country : US
Telephone Number : 651-552-2600
Fax Number : 651-552-2614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2006
Last Update Date : 07/21/2022

Similar Medicare Providers

1508838533 — SHEHLA ALAVI MD
Practice Location Address:
5625 CENEX DR , MAIL STOP 33100A
INVER GROVE HEIGHTS, MN
55077-1724
Practice Phone: 651-552-2600
Practice Fax: 651-552-2614
1376517755 — SUSAN M KINNEE APRN, CNP
Practice Location Address:
5625 CENEX DR
INVER GROVE HEIGHTS, MN
55077-1724
Practice Phone: 651-552-2600
Practice Fax: 651-552-2614
1396759585 — STACEY JUNGHANS M.A., LP
Practice Location Address:
5625 CENEX DR
INVER GROVE HEIGHTS, MN
55077-1724
Practice Phone: 651-552-2600
Practice Fax: 651-552-2614
1124136924 — BONNIE J ROHR MD
Practice Location Address:
5625 CENEX DR
INVER GROVE HEIGHTS, MN
55077-1724
Practice Phone: 651-552-2600
Practice Fax: 651-552-2614
1063560340 — ELINOR HSU LAC
Practice Location Address:
5625 CENEX DR
INVER GROVE HEIGHTS, MN
55077-1724
Practice Phone: 612-385-3628
Practice Fax: 651-552-2672
1669520110 — DR. BETH CAROLYN SMITH
Practice Location Address:
5625 CENEX DR
INVER GROVE HEIGHTS, MN
55077-1724
Practice Phone: 651-552-2600
Practice Fax: 651-552-2614

Directions to “ GREGORY S DEFOR MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.