Individual
MATTHEW MICHAEL GENTLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7601 WAYZATA BLVD, MINNEAPOLIS, MN 55426-1626
(239) 471-9816
Mailing address
433 S 7TH ST APT 1912, MINNEAPOLIS, MN 55415-1642
(239) 471-9816
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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