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Individual

BRUCE GEHRKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5844 NW BARRY RD STE 120, KANSAS CITY, MO 64154-1483
(816) 472-9595
(816) 472-1132
Mailing address
901 E 104TH ST, MAILSTOP 400, KANSAS CITY, MO 64131
(816) 502-8755
(816) 932-9670

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
04-35928
KS
208600000X
Surgery Physician
Primary
R3H19
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202487310
MO
Enumeration date
10/10/2006
Last updated
11/20/2017
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