Individual
MARK ANDREW GVIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
204 S 1ST ST, CARLISLE, IA 50047-7601
(515) 989-0097
(515) 989-9009
Mailing address
204 S 1ST ST, BOX 133, CARLISLE, IA 50047-7601
(515) 989-0097
(515) 989-9009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05327
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1258681
—
IA
Enumeration date
02/28/2006
Last updated
10/04/2011
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