Individual
DR. GERARD A MATYSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
405 MONROE ST, PELLA, IA 50219-1189
(641) 621-2200
(641) 621-2335
Mailing address
405 MONROE ST, PELLA, IA 50219-1189
(641) 621-2200
(641) 621-2335
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
OS11802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750367124
NPI NUMBER
—
01
—
560910040
MEDICARE PTAN NUMBER
IA
Enumeration date
12/19/2005
Last updated
08/31/2022
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