1689606287 Dr. Glenn Richard Gourley, M.D.

Pediatric Gastroenterology Physician

Active

Basic Information

Full Name
Dr. Glenn Richard Gourley, M.D.
Gender
Male
Enumeration Date
July 6, 2006
Last Update
June 5, 2019

Practice Location

Address
3001 BROADWAY ST NE STE 500
MINNEAPOLIS, MN 554132197
Phone
(612) 871-1145
Fax
(612) 870-5491

Mailing Address

Address
PO BOX 14909
MINNEAPOLIS, MN 554140909
Phone
(612) 871-1145
Fax
(612) 870-5491

Specialties & Taxonomies

Specialty Code Classification License State Primary
Pediatrics Physician
208000000X Pediatrics 48367 MN No
Pediatric Gastroenterology Physician
Pediatric Gastroenterology
2080P0206X Pediatrics 48367 MN No
Pediatric Gastroenterology Physician
Pediatric Gastroenterology
2080P0206X Pediatrics E-10741 AR Primary

Other Identifiers

Identifier Type State Issuer
29-00053 01 MN MEDICA PRIMARY
1046326 01 MN PREFERRED ONE
1511089 05 IA N/A
730T5GO 01 MN BCBS
182562 01 MN UCARE
29-00477 01 MN MEDICA CHOICE
29-00053 01 MN MEDICA CHOICE
220820200 05 MN N/A

Frequently Asked Questions

What is Dr. Glenn Richard Gourley, M.D.'s NPI number?
Dr. Glenn Richard Gourley, M.D.'s NPI number is 1689606287.
Which doctor has NPI number 1689606287?
The doctor with NPI number 1689606287 is Dr. Glenn Richard Gourley, M.D..
What is Dr. Glenn Richard Gourley, M.D.'s practice address?
Dr. Glenn Richard Gourley, M.D.'s practice address is 3001 BROADWAY ST NE STE 500, MINNEAPOLIS, MN, 554132197.
Which doctor practices at 3001 BROADWAY ST NE STE 500, MINNEAPOLIS, MN, 554132197?
Dr. Glenn Richard Gourley, M.D. practices at 3001 BROADWAY ST NE STE 500, MINNEAPOLIS, MN, 554132197.
What is Dr. Glenn Richard Gourley, M.D.'s mailing address?
Dr. Glenn Richard Gourley, M.D.'s mailing address is PO BOX 14909, MINNEAPOLIS, MN, 554140909.
What is Dr. Glenn Richard Gourley, M.D.'s phone number?
Dr. Glenn Richard Gourley, M.D.'s phone number is (612) 871-1145.
Who is (612) 871-1145?
(612) 871-1145 is the phone number for Dr. Glenn Richard Gourley, M.D..
What is Dr. Glenn Richard Gourley, M.D.'s specialty?
Dr. Glenn Richard Gourley, M.D.'s specialty is Pediatric Gastroenterology Physician.
What type of doctor is Dr. Glenn Richard Gourley, M.D.?
Dr. Glenn Richard Gourley, M.D. is a Pediatric Gastroenterology Physician.
Is Dr. Glenn Richard Gourley, M.D. a Pediatric Gastroenterology?
Yes, Dr. Glenn Richard Gourley, M.D. is a Pediatric Gastroenterology.
Is Dr. Glenn Richard Gourley, M.D. still practicing?
Yes, Dr. Glenn Richard Gourley, M.D. is currently practicing.
Is Dr. Glenn Richard Gourley, M.D. accepting new patients?
Dr. Glenn Richard Gourley, M.D. may be accepting new patients. Please call their office at (612) 871-1145 to inquire about availability.
Is NPI 1689606287 still active?
Yes, NPI 1689606287 is currently active.
Where does Dr. Glenn Richard Gourley, M.D. practice?
Dr. Glenn Richard Gourley, M.D. practices in MINNEAPOLIS, MN.
Is Dr. Glenn Richard Gourley, M.D. a male or female doctor?
Dr. Glenn Richard Gourley, M.D. is a male doctor.