Individual
DR. JONATHAN GOGOLAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9505 BLACKOAKS LN N, MAPLE GROVE, MN 55311-1229
(763) 420-4111
Mailing address
5050 W 36TH ST STE 100, ST LOUIS PARK, MN 55416-5470
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13666
MN
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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