Individual
TIMOTHY ALLEN GERDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1601 NW 114TH STREET, SUITE 255, CLIVE, IA 50325-7036
(515) 222-7010
(515) 222-7037
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 222-7010
(515) 222-7037
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-03245
IA
Other
Enumeration date
09/15/2006
Last updated
12/16/2014
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