Individual
DR. GUSTAVE STEPHEN IGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 LAKEVIEW RD, SUITE 2D, CLEARWATER, FL 33756-3355
(727) 461-7611
(727) 461-2860
Mailing address
600 LAKEVIEW RD, SUITE 2D, CLEARWATER, FL 33756-3355
(727) 461-7611
(727) 461-2860
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME0038869
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065777800
—
FL
Enumeration date
03/22/2006
Last updated
06/25/2010
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