Dr. Gary Bridgwater, MD - Nisswa, MN

Dr. Gary Bridgwater, MD

Specialist in Nisswa, Minnesota

NPI 1477505204

Gary Bridgwater is a Specialist based in Nisswa, MN. Gary Bridgwater practices in Nisswa, MN and has the professional credentials of MD. The NPI Number for Gary Bridgwater is 1477505204 and holds a License No. 56147 (Minnesota).

The current practice location address for Gary Bridgwater is 5898 Nashway Rd, Nisswa, MN and can be reached out via phone at 608-334-4812.

Location: 5898 Nashway Rd, Nisswa, MN, 56468-2358

NPI Number

1477505204

Provider Name

Gary Bridgwater

Credential

Provider Entity Type

Individual

Gender

Male

Address

5898 Nashway Rd, Nisswa, MN, 56468-2358

Phone Number

608-334-4812

Fax Number

Provider Enumeration Date

05/17/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
19957	01	WI	MEDICAL LICENSE
56147	01	MN	MINNESOTA MEDICAL LICENSE

Address

5898 Nashway Rd

City

Nisswa

State

Minnesota

Zip

56468-2358

Phone Number

608-334-4812

Fax Number

Address

5898 Nashway Rd

City

Nisswa

State

Minnesota

Zip

56468-2358

Phone Number

608-334-4812

Fax Number

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

56147 (Minnesota)

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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