Healthcare Provider Details

I. General information

NPI: 1871225235
Provider Name (Legal Business Name): GRETHEL PEREZ MEEK DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GRETHEL PEREZ DO

II. Dates (important events)

Enumeration Date: 06/25/2022
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8500 NORMANDALE LAKE BLVD STE 350
BLOOMINGTON MN
55437-3805
US

IV. Provider business mailing address

8500 NORMANDALE LAKE BLVD STE 350
BLOOMINGTON MN
55437-3805
US

V. Phone/Fax

Practice location:
  • Phone: --
  • Fax:
Mailing address:
  • Phone: --
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number3133
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number82152
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number343133
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: