Brian Daniel Gerrelts MD

NPI 1003869397 - Surgery - 208600000X

NPI Details
NPI 1003869397
Gender Male
Enumeration Date 05/18/2006
Last Updated 09/07/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1753 W RIDGEWAY AVE
STE 107
WATERLOO IA, 50701-4588, US
Phone (319) 833-5907
Fax (319) 833-5908
Business Location
PO BOX 2758
WATERLOO IA, 50704-2758, US
Phone (319) 833-5907
Fax (319) 833-5908
Toxanomy
Taxonomy Code 208600000X
License State Iowa
License Number 29250
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According to our database, Brian Daniel Gerrelts MD NPI is 1003869397, taxonomy code is 208600000X and license number is 29250, license state is located at Iowa. Brian Daniel Gerrelts MD physically located at 1753 W Ridgeway Ave, Waterloo IA, 50701-4588. NPI Number Brian Daniel Gerrelts MD has the Individual type.

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1003869397 NPI number is provided on an as is basis without warranty of any kind. 1003869397 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Daniel Gerrelts MD are for informational purposes only.