Individual provider · Type 1 NPI

Glenn Richard Gourley, MD

Pediatric Gastroenterology Physician · Minneapolis, MN

NPI number 1689606287 Active

Practice location

3001 Broadway St NE Ste 500
Minneapolis, MN 55413-2197

Call (612) 871-1145 Map

Fax (612) 870-5491

Mailing address

PO Box 14909
Minneapolis, MN 55414-0909

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X48367 (MN)
Pediatric Gastroenterology Physician 2080P0206X48367 (MN)
Pediatric Gastroenterology Physician Primary 2080P0206XE-10741 (AR)

Pediatric Gastroenterology Physician: A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

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About NPI 1689606287

Glenn Richard Gourley, MD's National Provider Identifier is 1689606287, issued on Jul 6, 2006. The primary taxonomy on file is Pediatric Gastroenterology Physician (2080P0206X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 5, 2019.