Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary Poulson, PA-C

Individual provider Emergency Medicine Physician · NPI 1891726410

Gary Poulson, PA-C is an Emergency Medicine Physician in Rochester, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8989 (MN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 8989 (MN)

Record details

NPI number1891726410
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024
Mailing address200 1st St Sw, Rochester, MN 55905-0001

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