Individual
DR. DANIEL G GYSBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
404 N KEENE ST, COLUMBIA, MO 65201
(573) 445-7300
(573) 445-7301
Mailing address
PO BOX 7536, COLUMBIA, MO 65205-7536
(573) 445-7300
(573) 445-7301
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
103012
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203941034
—
MO
Enumeration date
09/24/2006
Last updated
07/10/2018
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