Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NATHAN WAYNE GILBERTSON, PA-C
ActiveMedical Physician Assistant · MOOSE LAKE, MN
Registration Details
- NPI Number
- 1336203686
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 21, 2006 (19.334428023421 yrs)
- Last Updated
- Jul 21, 2022
- License
-
11706 (MN)
Practice Information
- Address
-
4570 COUNTY HIGHWAY 61MOOSE LAKE, MN, 55767Browse MN providers · Browse ZIP 55767
- Phone
- 2184854491
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.