| Group Health Plan, Inc | |
|
1395 Curve Crest Blvd W Stillwater MN 55082-6069 | |
| (651) 430-0036 | |
| (651) 430-0191 |
| Full Name | Group Health Plan, Inc |
|---|---|
| Speciality | Dentist |
| Location | 1395 Curve Crest Blvd W, Stillwater, Minnesota |
| Authorized Official Name and Position | David S Gesko (SR. VP/DENTAL DIR.) |
| Authorized Official Contact | 9528837577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Group Health Plan, Inc 1395 Curve Crest Blvd W Stillwater MN 55082-6069 Ph: (651) 430-0036 | Group Health Plan, Inc 1395 Curve Crest Blvd W Stillwater MN 55082-6069 Ph: (651) 430-0036 |
| NPI Number | 1992915649 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 12/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992915649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D10039 (Minnesota) | Primary |
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