Individual
MR. BRIAN GUTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1700 W TOWNLINE ST, CRESTON, IA 50801-1054
(641) 782-7091
Mailing address
1700 W TOWNLINE ST, CRESTON, IA 50801-1054
(641) 782-7091
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D118669
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD1018
RAILROAD MEDICARE
IA
Enumeration date
11/20/2005
Last updated
02/25/2020
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