Individual provider · Type 1 NPI
Gerald Lee Denisen, DVM
Veterinarian · Grand Meadow, MN
NPI number
1154527067
Active
Practice location
402 S. Main St.
Grand Meadow, MN 55936-0394
Mailing address
26879 745th Ave
Grand Meadow, MN 55936-8199
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Veterinarian Primary | 174M00000X | 03069 (MN) |
Veterinarian: A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.
About NPI 1154527067
Gerald Lee Denisen, DVM's National Provider Identifier is 1154527067, issued on Jun 26, 2007. The primary taxonomy on file is Veterinarian (174M00000X), and the practice location is in Grand Meadow, MN. The record was last updated on Jul 8, 2007.