Individual
MR. GERRY F FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
28198
IA
207Y00000X
Otolaryngology Physician
Primary
MD167147
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073114
—
IA
01
—
04045
WELLMARK BCBS
IA
Enumeration date
10/28/2005
Last updated
07/24/2018
Update your record
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