Individual
FREDRIC ETHAN GERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34710
IA
2083X0100X
Occupational Medicine Physician
34710
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0272484
—
IA
01
—
55844
WELLMARK BCBS
IA
Enumeration date
05/19/2006
Last updated
06/29/2009
Update your record
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