Provider Demographics
NPI:1437364072
Name:GEAR-FLEURY, ANGELA MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:MARIE
Last Name:GEAR-FLEURY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4250 LEXINGTON AVE S
Mailing Address - Street 2:SUITE #110
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55123-2607
Mailing Address - Country:US
Mailing Address - Phone:651-365-7777
Mailing Address - Fax:651-454-8333
Practice Address - Street 1:4250 LEXINGTON AVE S
Practice Address - Street 2:SUITE #110
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55123-2607
Practice Address - Country:US
Practice Address - Phone:651-365-7777
Practice Address - Fax:651-454-8333
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3931111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN579172300Medicaid
MN350002120Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
MNU91123Medicare UPIN