Provider Demographics
NPI:1255544227
Name:DUNCAN, GILLIAN F (MS)
Entity type:Individual
Prefix:MS
First Name:GILLIAN
Middle Name:F
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-6505
Mailing Address - Country:US
Mailing Address - Phone:507-288-3354
Mailing Address - Fax:507-288-3431
Practice Address - Street 1:328 S BROADWAY
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-6505
Practice Address - Country:US
Practice Address - Phone:507-288-3354
Practice Address - Fax:507-288-3431
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes229N00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersAnaplastologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND54945Medicaid
WI41703100Medicaid
ND54945Medicaid