IndividualActive
Glenn Gourley, M.D.
NPI 1689606287 · Pediatric Gastroenterology Physician · Minneapolis, MN
Provider details
- NPI number
- 1689606287
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 48367 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3001 Broadway St Ne Ste 500
Minneapolis, MN 55413-2197
Phone: (612) 871-1145
Fax: (612) 870-5491
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 14909
Minneapolis, MN 55414-0909
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2019-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.