Provider Demographics
NPI:1699079533
Name:WESTREICH, GILBERT (MD)
Entity type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:
Last Name:WESTREICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1779 EMERSON AVE SOUTH
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-2909
Mailing Address - Country:US
Mailing Address - Phone:612-377-9798
Mailing Address - Fax:612-377-3885
Practice Address - Street 1:1779 EMERSON AVE SOUTH
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-2909
Practice Address - Country:US
Practice Address - Phone:612-377-9798
Practice Address - Fax:612-377-3885
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN174182084N0400X
MNC351692084N0400X
WI40797-202084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FW1151733OtherDEA