Individual
GARY J GANGESTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
141 N 7TH ST, DENISON, IA 51442-2457
(712) 263-6546
(712) 263-5825
Mailing address
141 N 7TH ST, DENISON, IA 51442-2457
(712) 263-6546
(712) 263-5825
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05686
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140046
—
IA
01
—
421457633
COMMERCIAL INS
—
01
—
P00161641
RAILROAD MEDICARE
—
Enumeration date
07/29/2005
Last updated
02/08/2011
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