Provider Demographics
NPI:1326134354
Name:GULDEN, DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:GULDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14665 GALAXIE AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-4509
Mailing Address - Country:US
Mailing Address - Phone:952-431-6033
Mailing Address - Fax:952-431-6033
Practice Address - Street 1:14665 GALAXIE AVE STE 140
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-4509
Practice Address - Country:US
Practice Address - Phone:952-431-6033
Practice Address - Fax:952-431-6033
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN263972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN787275500OtherMN CARE
MN121665OtherUCARE
MN15-58237OtherUBH
MN41-1576550OtherBHP
MN03D86GUOtherBCBS
MN121665OtherUCARE
MN41-1576550OtherBHP