# DR. GERALD J GLEICH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174545800
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 49317201205 | UT | — |
| 207KA0200X | Allergy Physician | 49317201205 | UT | — |
| 207N00000X | Dermatology Physician | 4931720-1205 | UT | — |
| 207R00000X | Internal Medicine Physician | 4931720-1205 | UT | Yes |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 11/01/2021