GLENN RICHARD GOURLEY

MINNEAPOLIS, MN
NPI1689606287
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0206X Pediatrics, Pediatric Gastroenterology
(Licence: AR  E-10741)
Additional Taxonomies208000000X Pediatrics
(Licence: MN  48367)
2080P0206X Pediatrics, Pediatric Gastroenterology
(Licence: MN  48367)
Enumeration Date2006-07-06
Last Update Date2019-06-05
Business Address
Dr. GLENN RICHARD GOURLEY M.D.
3001 BROADWAY ST NE STE 500
MINNEAPOLIS, MN 55413-2197
Phone number: 612-871-1145
Mailing Address
Dr. GLENN RICHARD GOURLEY M.D.
PO BOX 14909
MINNEAPOLIS, MN 55414-0909
Phone number: 612-871-1145