Individual
DONFRED GERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4471 41ST AVE STE 1014, COLUMBUS, NE 68601-9405
(203) 996-5456
(877) 283-6658
Mailing address
4471 41ST AVE STE 1014, COLUMBUS, NE 68601-9405
(203) 996-5456
(877) 283-6658
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
G635-160-62-464-0
FL
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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