Individual
TODD GEHMLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
450 E MAIN ST, REXBURG, ID 83440-2048
(208) 356-3691
Mailing address
PO BOX 3882, IDAHO FALLS, ID 83403-3882
(208) 525-2090
(208) 525-2662
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
N-27548
ID
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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