Individual
NELSON GURLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1616
Mailing address
4 WOODLAND HTS NE, IOWA CITY, IA 52240-9136
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20191
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0127878
TITLE XIX
IA
01
—
065359
IHDC
—
Enumeration date
06/28/2007
Last updated
07/08/2007
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