Provider Demographics
NPI:1821074337
Name:GORMAN, ROBERT J (MD)
Entity Type:Individual
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First Name:ROBERT
Middle Name:J
Last Name:GORMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-883-5375
Mailing Address - Fax:952-595-6455
Practice Address - Street 1:5100 GAMBLE DR SUITE 100-MAIL STOP 31200A
Practice Address - Street 2:HEALTHPARTNERS WEST CLINIC
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-1582
Practice Address - Country:US
Practice Address - Phone:952-541-2500
Practice Address - Fax:952-595-6455
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2011-12-15
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Provider Licenses
StateLicense IDTaxonomies
MN295602083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine