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Individual

AMANDA JEAN GERBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
602 8TH ST STE 105, BONAPARTE, IA 52620-9769
(319) 677-0219
(888) 965-5450
Mailing address
PO BOX 250, BONAPARTE, IA 52620-0250
(319) 677-0219
(888) 965-5450

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2017010125
MO
207Q00000X
Family Medicine Physician
Primary
38644
IA
207Q00000X
Family Medicine Physician
R8459
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396909701
IA
Enumeration date
07/15/2008
Last updated
03/17/2018
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