MEDICARE: MR. GERHARD DONI

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	171W00000X	Contractor		MO

General Provider Information

NPI Number	:	1558098756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GERHARD DONI

Provider Business Mailing Address
First Line	:	808 E COTHRELL ST
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66061-2906
Country	:	US
Telephone Number	:	913-907-7013
Fax Number	:

Provider Business Practice Location Address
First Line	:	6500 TROOST AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-1302
Country	:	US
Telephone Number	:	913-907-7013
Fax Number	:

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

Provider Enumeration Date	:	08/07/2022
Last Update Date	:	08/07/2022

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Directions to “ MR. GERHARD DONI ” Practice Location

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