Glenn Richard Gourley is a Pediatric Gastroenterology Physician based in Minneapolis, MN and is specialized in Pediatric Gastroenterology. Glenn Richard Gourley practices in Minneapolis, MN and has the professional credentials of MD. The NPI Number for Glenn Richard Gourley is 1689606287 and holds a License No. 48367 (Minnesota).
The current practice location address for Glenn Richard Gourley is 3001 Broadway St Ne Ste 500, Minneapolis, MN and can be reached out via phone at 612-871-1145 and via fax at 612-870-5491.
Identifier | Type | State | Issuer |
---|---|---|---|
29-00053 | 01 | MN | MEDICA PRIMARY |
1046326 | 01 | MN | PREFERRED ONE |
1511089 | 05 | IA | |
730T5GO | 01 | MN | BCBS |
182562 | 01 | MN | UCARE |
29-00477 | 01 | MN | MEDICA CHOICE |
29-00053 | 01 | MN | MEDICA CHOICE |
220820200 | 05 | MN |
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