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NPI Code Detail

MEDICARE: DR. GABRIEL ROBERT DEAN PHARM D

MEDICARE:  DR. GABRIEL ROBERT DEAN  PHARM 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
1183500000XPharmacist117284MN

General Provider Information

NPI Number : 1801075064
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GABRIEL ROBERT DEAN PHARM D
Provider Business Mailing Address
First Line : 19216 FREEPORT ST NW
Second Line :
City : ELK RIVER
State : MN
Zip : 55330-1265
Country : US
Telephone Number : 763-241-8112
Fax Number :
Provider Business Practice Location Address
First Line : 19216 FREEPORT ST NW
Second Line :
City : ELK RIVER
State : MN
Zip : 55330-1265
Country : US
Telephone Number : 763-241-8112
Fax Number : 763-241-8814
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2007
Last Update Date : 10/24/2007

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Directions to “ DR. GABRIEL ROBERT DEAN PHARM D” Practice Location

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