Individual
DR. GREGORY VINCENT STANISLAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
933 E PIERCE ST STE 206, COUNCIL BLUFFS, IA 51503-4626
(712) 396-7460
(712) 396-7465
Mailing address
933 E PIERCE ST STE 206, COUNCIL BLUFFS, IA 51503-4626
(712) 396-7460
(712) 396-7465
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
17498
NE
208600000X
Surgery Physician
Primary
29675
IA
Other
Enumeration date
01/25/2007
Last updated
03/17/2018
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