Search › Minnesota › 213ES0103X
Samuel Gervais, DPM
NPI 1396150793 · on the registry since 2014
Practice
- Address
- 601 Jacob Ln
Anoka, MN 55303 - Phone
- (763) 587-4200
- Fax
- (763) 587-4205
- Clinicians at this address
- 41
Additional practice sites
- 2220 Riverside Ave, Minneapolis, MN
- 2220 Riverside Ave, Minneapolis, MN
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota