Individual
GERALD MATHEW PALUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
312 E ALTA VISTA, ADDICTION MEDICINE CLINIC, OTTUMWA, IA 52501
(641) 684-3170
(641) 684-3173
Mailing address
312 E ALTA VISTA, CENTRAL BILLING OFFICE ATTN REGINA NEWTON, OTTUMWA, IA 52501
(641) 684-3053
(641) 683-2855
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
18366
IA
208600000X
Surgery Physician
Primary
18366
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06515
BCBS
IA
05
—
6158311
—
IA
05
—
7158311
—
IA
Enumeration date
01/10/2006
Last updated
10/16/2007
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