Gordon A Braatz is a Clinical in Edina, Minnesota. Gordon A Braatz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gordon A Braatz is 1497880009. The last update date is 2007-07-08.
Gordon A Braatz's current location address is 6566 France Ave S, Edina, Minnesota. You can contact this provider via phone number 9529254909. The mailing address for Gordon A Braatz is 6566 France Ave S, Edina, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon A Braatz |
|---|---|
| Address | 6566 France Ave S, Edina, Minnesota |
| Phone Number | 9529254909 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1497880009 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6566 France Ave S |
|---|---|
| City | Edina |
| State | Minnesota (MN) |
| Post Code | 554351723 |
| Phone Number | 9529254909 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP1737 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Gordon A Braatz by the Centers for Medicare & Medicaid Services?
The Gordon A Braatz has been issued the NPI (National Provider Identifier) 1497880009 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Gordon A Braatz?
The Gordon A Braatz is physically situated at 6566 France Ave S, in the city of Edina, state of MN, with the postal code 554351723.
What is Gordon A Braatz's area of expertise and its corresponding taxonomy classification?
The Gordon A Braatz's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1497880009 to Gordon A Braatz?
The Gordon A Braatz received its 1497880009 assignment from the Centers for Medicare & Medicaid Services on 2007-02-22.
As of what date were the details pertaining to Gordon A Braatz last refreshed?
The information related to the Gordon A Braatz, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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