GT Urological, LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

6700564 Issued in MN

Legal business name

GT UROLOGICAL, LLC

Practice address

1313 5TH St SE
Suite 221
Minneapolis, MN 55414-4504

Phone

(612) 379-3578

Fax

(612) 379-3579

NPI assigned

Aug 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gerald W Timm, PH. D.

Title

President

Phone

(612) 379-3578

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1114036241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 5TH ST SE",
            "address_2": "SUITE 221",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554144504",
            "telephone_number": "612-379-3578",
            "fax_number": "612-379-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 5TH ST SE",
            "address_2": "SUITE 221",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554144504",
            "telephone_number": "612-379-3578",
            "fax_number": "612-379-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GT UROLOGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "TIMM",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-379-3578",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "MN",
            "license": "6700564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Choshi Grussing
• Matylin F Grutzmacher, LICSW
• Gretchen Helen Gruys, FNP
• Catherine Ann Gryzmala, CRNA
• Susan Marie Grzywinski, RN
• GTM Enterprises PA
• Li Gu, L.AC
• Lidan Gu
• Grace Anne Gualtieri, PT, DPT
• Guardian Home Health Services Inc

• Non-Pharmacy Dispensing Site in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Non-Pharmacy Dispensing Site in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.