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
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55455-0357
- Phone
- (612) 626-6529
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Rehabilitation — Rehabilitation |
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