Individual
NANCY L. GUTTORMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
303 E NICOLLET BLVD, SUITE 300, BURNSVILLE, MN 55337-4522
(952) 435-4140
(952) 435-4189
Mailing address
3400 W 66TH ST, SUITE 350, MINNEAPOLIS, MN 55435-2111
(952) 832-0805
(952) 832-5597
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30751
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
651363800
—
MN
Enumeration date
07/03/2006
Last updated
04/12/2013
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