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NPI Code Detail

MEDICARE: AMANDA JEAN GERBER MD

MEDICARE:   AMANDA JEAN GERBER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician2017010125MO
2207Q00000XFamily Medicine PhysicianR8459IA
3207Q00000XFamily Medicine Physician38644IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396909701
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA JEAN GERBER MD
Provider Business Mailing Address
First Line : PO BOX 250
Second Line :
City : BONAPARTE
State : IA
Zip : 52620-0250
Country : US
Telephone Number : 319-677-0219
Fax Number : 888-965-5450
Provider Business Practice Location Address
First Line : 602 8TH ST STE 105
Second Line :
City : BONAPARTE
State : IA
Zip : 52620-9769
Country : US
Telephone Number : 319-677-0219
Fax Number : 888-965-5450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2008
Last Update Date : 03/17/2018

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Directions to “ AMANDA JEAN GERBER MD” Practice Location

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