Gundlach, Matthew Frederick
Gundlach, Matthew Frederick is an sole proprietor health care provider with primary practice located at 12450 Wayzata Blvd Suite 205, Minnetonka MN 55305-1978. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Gundlach, Matthew Frederick can be contacted via phone (952) 545-0110.Contact Information
Primary practice address
12450 Wayzata Blvd Suite 205
Minnetonka MN 55305-1978
Phone: (952) 545-0110
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | LP1055 | Minnesota |
Profile Details
NPI number | 1295898666 |
---|---|
LBN Legal business name | Gundlach, Matthew Frederick |
Credentials | EDD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 18th, 2006 |
Last updated | Jul 8th, 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.
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