Individual
NATHAN GOSSAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 DELAWARE ST SE, MMC 391, MINNEAPOLIS, MN 55455-0341
(612) 624-1192
(612) 626-7042
Mailing address
2530 CHICAGO AVE, CSC 1ST FLOOR, MINNEAPOLIS, MN 55404-4289
(612) 813-5940
(612) 813-7108
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
56559
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2010
Last updated
06/23/2016
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