Healthcare Provider Details

I. General information

NPI: 1598768269
Provider Name (Legal Business Name): ANN M GESSNER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 06/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 E MAIN ST
MARSHALLTOWN IA
50158-1928
US

IV. Provider business mailing address

407 E MAIN ST
MARSHALLTOWN IA
50158-1928
US

V. Phone/Fax

Practice location:
  • Phone: 641-752-4681
  • Fax: 641-752-6572
Mailing address:
  • Phone: 641-752-4681
  • Fax: 641-752-6572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number#3307
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: