Provider Demographics
NPI:1053406389
Name:BENDER, GAIL PAPERMASTER (MD)
Entity type:Individual
Prefix:DR
First Name:GAIL
Middle Name:PAPERMASTER
Last Name:BENDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3430 LIST PL
Mailing Address - Street 2:#2101
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55416-4559
Mailing Address - Country:US
Mailing Address - Phone:612-239-6145
Mailing Address - Fax:952-836-3646
Practice Address - Street 1:6363 FRANCE AVE S
Practice Address - Street 2:SUITE 610
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2129
Practice Address - Country:US
Practice Address - Phone:952-836-3645
Practice Address - Fax:952-836-3646
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN22924207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN9575057Medicaid
MNHP18158OtherHEALTHPARTNERS
MN51065BEOtherBLUE CROSS
MNHP18158OtherHEALTHPARTNERS
MN9575057Medicaid