Dr SAMUEL J GERVAIS is a male medical professional, specializing in Podiatry. He graduated in 2014.
GROUP HEALTH PLAN INC
601 JACOB LN
ANOKA
MN
553031621
Tel: 7635874400
Npi | 1396150793 |
Pac Id | 6103123559 |
Professional Enrollment Id | I20170816003271 |
Last Name | GERVAIS |
First Name | SAMUEL |
Middle Name | J |
Suffix | |
Gender | M |
Credential | |
Medical School Name | OTHER |
Graduation Year | 2014 |
Primary Specialty | PODIATRY |
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Organization Legal Name | GROUP HEALTH PLAN INC |
Group Practice Pac Id | 1759293954 |
Number Of Group Practice Members | 1339 |
Line 1 Street Address | 601 JACOB LN |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | ANOKA |
State | MN |
Zip Code | 553031621 |
Phone Number | 7635874400 |
Hospital Affiliation Ccn 1 | 240106 |
Hospital Affiliation Lbn 1 | REGIONS HOSPITAL |
Hospital Affiliation Ccn 2 | 240115 |
Hospital Affiliation Lbn 2 | MERCY HOSPITAL |
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Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | Y |
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