GRANT GULLICKSON

NEW BRIGHTON, MN
NPI1770279408
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  14410)
Enumeration Date2023-04-14
Last Update Date2023-04-14
Business Address
Mr. GRANT GULLICKSON PA-C
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112-1789
Phone number: 651-628-9566
Mailing Address
Mr. GRANT GULLICKSON PA-C
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112-1789
Phone number: 651-628-9566
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