Provider Demographics
NPI:1578896361
Name:GILB, CRIS L (MN17275)
Entity Type:Individual
Prefix:
First Name:CRIS
Middle Name:L
Last Name:GILB
Suffix:
Gender:F
Credentials:MN17275
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 W MAIN ST
Mailing Address - Street 2:LLMP PUBLIC HEALTH SERVICES
Mailing Address - City:MARSHALL
Mailing Address - State:MN
Mailing Address - Zip Code:56258
Mailing Address - Country:US
Mailing Address - Phone:507-537-6713
Mailing Address - Fax:507-537-6719
Practice Address - Street 1:607 W MAIN ST
Practice Address - Street 2:LLMP PUBLIC HEALTH SERVICES
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258
Practice Address - Country:US
Practice Address - Phone:507-537-6713
Practice Address - Fax:507-537-6713
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare