Healthcare Provider Details

I. General information

NPI: 1053044560
Provider Name (Legal Business Name): MATIAS ALBERTO GERSTNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2022
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 DUFF AVE
AMES IA
50010-5469
US

IV. Provider business mailing address

2716 KINGSTON DR
AMES IA
50010-4355
US

V. Phone/Fax

Practice location:
  • Phone: 515-239-4431
  • Fax: 515-239-4742
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD-53902
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: