Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY M IVINS, MD
ActiveDR. GARY M IVINS, MD is a Internal Medicine healthcare provider located in EDEN PRAIRIE, Minnesota. NPI 1083610356 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · EDEN PRAIRIE, MN
Registration Details
- NPI Number
- 1083610356
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2005 (21.181819706498 yrs)
- Last Updated
- Oct 3, 2016
- License
-
37014 (MN)
Practice Information
- Address
-
11905 THORNHILL RDEDEN PRAIRIE, MN, 553443276Browse MN providers · Browse ZIP 55344
- Phone
- 6126693091
- Fax
- 9529248358
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in EDEN PRAIRIE, MN
| Name | Credential | NPI |
|---|---|---|
| DR. LYNN MARIE DAVIS | M.D. | 1164748315 |
| TYLER E LOOMER | DO | 1033777677 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.