Gary Michael Goldetsky

NPI #1124129382 in Minneapolis, Minnesota

Provider Information

NPI Number
1124129382
Entity Type
Individual
Name
Gary Michael Goldetsky
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Rehabilitation
Enumeration Date
Sep 26, 2006
Last Updated
Aug 14, 2007

Practice Location

Address
515 DELAWARE ST SE
Address 2
TMD CLINIC
ZIP Code
55455-0357
Phone
(612) 626-6529

Specialties & Taxonomy Codes

Specialty
Psychologist - RehabilitationRehabilitation

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