Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLENN RICHARD GOURLEY, M.D.
ActiveDR. GLENN RICHARD GOURLEY, M.D. is a Pediatric Gastroenterology healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1689606287 is currently active in the NPPES registry. Verify at CMS.
Pediatric Gastroenterology · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1689606287
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2006 (20.068369602711 yrs)
- Last Updated
- Jun 5, 2019
- Licenses
-
48367 (MN)48367 (MN)E-10741 (AR)
Practice Information
- Address
-
3001 BROADWAY ST NE STE 500MINNEAPOLIS, MN, 554132197Browse MN providers · Browse ZIP 55413
- Phone
- 6128711145
- Fax
- 6128705491
- Primary Specialty
-
Pediatric Gastroenterology
2080P0206X
- Additional Specialty
- Pediatric Gastroenterology
- Additional Specialty
- Pediatric Gastroenterology
Other Pediatric Gastroenterology Providers in MINNEAPOLIS, MN
| Name | Credential | NPI |
|---|---|---|
| SARAH JANE SCHWARZENBERG | M.D. | 1245264795 |
| BORIS SUDEL | MD | 1336349778 |
| CATHERINE MARGARET LARSON-NATH | M.D. | 1457524902 |
| PAMELA RAJA PUTHOOR | MD | 1356504120 |
| DR. JESSICA EILEEN STUMPHY | M.D. | 1104051721 |
| ELISSA MARGUERITE DOWNS | MD MPH | 1104116722 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.