Individual
JULIE S GERNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MADISON EAST CENTER, STE 352 MANKATO CLINIC DEPARTMENT OF PSYCHIATRY, MANKATO, MN 56001
(507) 387-3195
Mailing address
PO BOX 8674, MANKATO CLINIC LTD, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30767
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0572164
—
IA
01
—
116333
U CARE
MN
01
—
260050340
RR MEDICARE
—
01
—
388R9GE
BC BS
MN
01
—
410849339 56001 C024
CHAMPUS
—
01
—
771664
AMERICAS PPO
MN
05
—
939785000
—
MN
01
—
HP36767
HEALTH PARTNERS
MN
01
—
NA2951015938
PREFERRED ONE
MN
Enumeration date
01/13/2006
Last updated
08/30/2011
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