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Individual

DR. GERSON GIBRAN MANRIQUEZ MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
808 E PIERCE ST, COUNCIL BLUFFS, IA 51503-4601
(712) 396-7880
(712) 396-7885
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
8764
NE
207V00000X
Obstetrics & Gynecology Physician
Primary
MD-53245
IA

Other

Enumeration date
06/10/2020
Last updated
08/30/2024
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