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NPI Code Detail

MEDICARE: GREGORY PATRICK COUSER M.D.

MEDICARE:   GREGORY PATRICK COUSER  M.D.
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
12084P0800XPsychiatry Physician47877MN
22083P0901XPublic Health & General Preventive Medicine Physician47877MN

General Provider Information

NPI Number : 1366429433
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY PATRICK COUSER M.D.
Provider Business Mailing Address
First Line : 200 1ST ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55905-0001
Country : US
Telephone Number : 507-284-2511
Fax Number :
Provider Business Practice Location Address
First Line : 200 1ST ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55905-0001
Country : US
Telephone Number : 507-284-2511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 08/13/2020

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