Organization
KOSKI STARK GHODGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARESH S GHODGE MD (OWNER)
(205) 413-7893
Entity
Organization
Contact information
Practice address
8014 HIGHWAY 55 # 515, GOLDEN VALLEY, MN 55427-4712
(763) 200-1185
(763) 374-3201
Mailing address
8014 HIGHWAY 55 # 515, GOLDEN VALLEY, MN 55427-4712
(763) 200-1185
(763) 374-3201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22922
MN
Other
Enumeration date
06/27/2017
Last updated
03/15/2018
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