NPI 1023051356 · live from the CMS NPI Registry
Gary Wayne Beaver, DO
Psychiatry & Neurology, Neurology in Duluth, MN. National Provider Identifier 1023051356, active.
NPI record
| NPI | 1023051356 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 400 E 3rd St, Duluth, MN 55805 |
| Practice phone | 218-786-8364 |
| Enumerated | June 14, 2006 |
| Last updated | October 26, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 43471 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.