NPI 1003012675
Michelle Irene Gray
Practice location
- Address
- 2450 Riverside Ave, Minneapolis, MN 55454-1450
- Phone
- (612) 672-6000
- Mailing address
- 1920 Fountain Ln, Waconia, MN 55387-4600
Registered specialties
Rehabilitation Practitioner
Primary
Registry record
- NPI
- 1003012675
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Jun 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.