Individual
BRIAN DANIEL GERRELTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1753 W RIDGEWAY AVE, STE 107, WATERLOO, IA 50701-4588
(319) 833-5907
(319) 833-5908
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 833-5907
(319) 833-5908
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
29250
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1098236
—
IA
01
—
19243
WELLMARK INS PLAN
IA
01
—
42141730707
JOHN DEERE HEALTH INS PLA
IA
Enumeration date
05/18/2006
Last updated
02/04/2022
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