Organization
GT UROLOGICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD W TIMM PH. D. (PRESIDENT)
(612) 379-3578
Entity
Organization
Contact information
Practice address
1313 5TH ST SE, SUITE 221, MINNEAPOLIS, MN 55414-4504
(612) 379-3578
(612) 379-3579
Mailing address
1313 5TH ST SE, SUITE 221, MINNEAPOLIS, MN 55414-4504
(612) 379-3578
(612) 379-3579
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
6700564
MN
Other
Enumeration date
08/30/2006
Last updated
11/25/2008
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