# DANIEL MACK GABRIELSON

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

## Provider details

- **NPI number:** 1639119217
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 3611 | IA | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 04/14/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0283465 | — | IA |
| 05 | — | 0293522 | — | IA |
| 05 | — | 0424507 | — | IA |
| 05 | — | 0600460 | — | IA |
| 05 | — | 0635011 | — | IA |
| 05 | — | 0655001 | — | IA |
| 01 | — | 29352 | BCBS ER | IA |
| 01 | — | 33444 | FPC BCBS NRH | IA |
| 01 | — | 36174 | BCBS DME | IA |
| 01 | — | 60046 | BCBS REG | IA |
| 01 | — | 66046 | BCBS SNF | IA |