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Individual

HAESHIK GORR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
550 S JACKSON ST, LOUISVILLE, KY 40202-1622
(502) 562-6510
(502) 562-6515
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51712
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64324627
KY
Enumeration date
09/20/2005
Last updated
12/24/2019
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