MEDICARE: DR. DAN L GEHLBACH M.D.

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
1	207VE0102X	Reproductive Endocrinology Physician	04-20706	KS

General Provider Information

NPI Number	:	1962405654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAN L GEHLBACH M.D.

Provider Business Mailing Address
First Line	:	10539 S CHESNEY LN
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66061-2775
Country	:	US
Telephone Number	:	913-393-1519
Fax Number	:

Provider Business Practice Location Address
First Line	:	20375 W 151ST ST
Second Line	:	STE 403
City	:	OLATHE
State	:	KS
Zip	:	66061-7209
Country	:	US
Telephone Number	:	913-780-4300
Fax Number	:	913-780-4250

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	07/08/2007

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