Individual
DR. GORDON A BRAATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6566 FRANCE AVE S, PH1, EDINA, MN 55435-1723
(952) 925-4909
Mailing address
6566 FRANCE AVE S, PH1, EDINA, MN 55435-1723
(952) 925-4909
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1737
MN
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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