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Dr. Glenn Richard Gourley, MD
Pediatric Gastroenterology Physician in Minneapolis, Minnesota
NPI 1689606287

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. You can also correspond with Glenn Richard Gourley through the mailing address at PO BOX 14909, MINNEAPOLIS, MN - 55414-0909 (mailing address contact number: 612-871-1145).

Location: 3001 Broadway St Ne Ste 500, Minneapolis, MN, 55414-0909
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Provider Profile Details
NPI Number
1689606287
Provider Name
Glenn Richard Gourley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3001 Broadway St Ne Ste 500, Minneapolis, MN, 55414-0909
Phone Number
612-871-1145
Fax Number
612-870-5491
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
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
institution
Provider Business Practice Location Address Details
Address
3001 Broadway St Ne Ste 500
City
State
Zip
55413-2197
Phone Number
612-871-1145
Fax Number
612-870-5491
person
Provider Business Mailing Address Details
Address
3001 Broadway St Ne Ste 500
City
State
Zip
55413-2197
Phone Number
612-871-1145
Fax Number
612-870-5491
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
License No.
48367 (Minnesota)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Gastroenterology
Taxonomy
License No.
48367 (Minnesota)
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
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