Individual
THOMAS RICHARD GANTENBEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E WALNUT ST, COLUMBUS JUNCTION, IA 52738-1014
(319) 728-3144
(319) 728-3156
Mailing address
111 E WALNUT ST, COLUMBUS JUNCTION, IA 52738-1014
(319) 728-3144
(319) 728-3156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18539
IA
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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