Individual
SHAWN GERARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112W DAVENPORT ST 1, ELDRIDGE, IA 52748-1252
(563) 223-9120
Mailing address
112 W DAVENPORT ST UNIT 1, ELDRIDGE, IA 52748-1252
(563) 223-9120
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
078973
IA
111NS0005X
Sports Physician Chiropractor
078973
IA
Other
Enumeration date
07/30/2015
Last updated
09/01/2015
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