Individual
DR. JOHN CHESTER GONSIOREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3514 LILAC LN, MINNETONKA, MN 55345-1022
(952) 994-1386
Mailing address
3514 LILAC LN, MINNETONKA, MN 55345-1022
(952) 994-1386
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP-1236
MN
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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