Gt Urological, LLC
NPI #1114036241 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1114036241
- Entity Type
- Organization
- Organization Name
- Gt Urological, LLC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Nov 25, 2008
Practice Location
- Address
- 1313 5TH ST SE
- Address 2
- SUITE 221
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55414-4504
- Phone
- (612) 379-3578
Authorized Official
- Name
- MR. GERALD W TIMM, PH. D.
- Title
- PRESIDENT
- Phone
- (612) 379-3578
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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