Individual
BEN GAUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
112 E DETROIT AVE, INDIANOLA, IA 50125-1860
(515) 961-5324
(515) 961-0116
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01860
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1210963
—
IA
05
—
2210963
—
IA
Enumeration date
08/03/2006
Last updated
04/08/2009
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