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Individual

KLAUS D. GIERKE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1800 E FLORENCE BLVD, CASA GRANDE, AZ 85222-5303
(520) 381-6300
(520) 381-6618
Mailing address
PO BOX 847854, DALLAS, TX 75284-7854
(800) 377-8721
(304) 523-2241

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13305
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
234526
AZ
01
AZ0898580
BLUECROSS BLUESHIELD
AZ
Enumeration date
02/02/2006
Last updated
07/08/2007
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