| Michael Gormley Lp | |
|
610 Chestnut St Glencoe MN 55336-1028 | |
| (320) 864-4725 | |
| Not Available |
| Full Name | Michael Gormley Lp |
|---|---|
| Speciality | Psychologist |
| Location | 610 Chestnut St, Glencoe, Minnesota |
| Authorized Official Name and Position | Jan Wirtz (BILLING OFFICE MGR) |
| Authorized Official Contact | 9524427015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Gormley Lp 610 Chestnut St Glencoe MN 55336-1028 Ph: (320) 864-4725 | Michael Gormley Lp 610 Chestnut St Glencoe MN 55336-1028 Ph: (320) 864-4725 |
| NPI Number | 1598955577 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 07/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598955577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP0509 (Minnesota) | Primary |
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