Provider Demographics
NPI:1346233731
Name:GILBERT, AMY LOREEN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:LOREEN
Last Name:GILBERT
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:2004 FORD PKWY
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-1931
Mailing Address - Country:US
Mailing Address - Phone:612-256-8225
Mailing Address - Fax:612-457-0216
Practice Address - Street 1:2004 FORD PKWY
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-1931
Practice Address - Country:US
Practice Address - Phone:612-256-8225
Practice Address - Fax:612-457-0216
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2023-09-14
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Provider Licenses
StateLicense IDTaxonomies
MN36291207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN382015700Medicaid
F73777Medicare UPIN