Individual
DR. MATTHEW FREDERICK GUNDLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
12450 WAYZATA BLVD, SUITE 205, MINNETONKA, MN 55305-1978
(952) 545-0110
Mailing address
12450 WAYZATA BLVD, SUITE 205, MINNETONKA, MN 55305-1978
(952) 545-0110
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP1055
MN
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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