Individual
NICOLE MARIE GENSICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 10TH ST SE, CEDAR RAPIDS, IA 52403-2414
(319) 247-3049
Mailing address
202 10TH ST SE, CEDAR RAPIDS, IA 52403-2414
(712) 249-2461
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
R-11698
IA
Other
Enumeration date
06/24/2019
Last updated
08/12/2024
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