Goldetsky, Gary Michael

Goldetsky, Gary Michael is an individual health care provider with primary practice located at 515 Delaware St Se Tmd Clinic, Minneapolis MN 55455-0357. He recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as his primary health care specialty. Goldetsky, Gary Michael can be contacted via phone (612) 626-6529.

Contact Information

Primary practice address
515 Delaware St Se Tmd Clinic Minneapolis MN 55455-0357
Phone: (612) 626-6529
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X LPO 508 Minnesota

Profile Details

NPI number 1124129382
LBN Legal business name Goldetsky, Gary Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Aug 14th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers