# GARY P VAN ERT

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

## Provider details

- **NPI number:** 1194894451
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2553 | SD | — |
| 207Q00000X | Family Medicine Physician | 26716 | NE | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 04/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0120251 | MEDICA | SD |
| 01 | — | 4995081 | BCBS | SD |
| 05 | — | 5602532 | — | SD |
| 01 | — | AH9141044828 | PREFERRED ONE | SD |