OrganizationActive
Gt Urological, LLC
NPI 1114036241 · Non-Pharmacy Dispensing Site · Minneapolis, MN
Provider details
- NPI number
- 1114036241
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Gerald Timm, President(612) 379-3578
- License
- 6700564 (MN)
Specialties & taxonomies
Suppliers
Practice location
1313 5th St Se
Suite 221
Minneapolis, MN 55414-4504
Phone: (612) 379-3578
Fax: (612) 379-3579
Approximate (ZIP-level) locationGet directions
Mailing address
1313 5th St Se
Minneapolis, MN 55414-4504
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2008-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.