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GRANT GULLICKSON, PA-C
PA-C
Physician Assistant
NPI: 1770279408IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
14410(MN)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2022
Contact & Hours
- Address
- 1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112 - Phone
- (651) 628-9566
Quick Facts
- NPI
- 1770279408
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 4
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