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Individual

GERALD KEASLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 E 29TH ST, FREMONT, NE 68025-2384
(402) 721-3133
(402) 941-7017
Mailing address
700 E 29TH ST, FREMONT, NE 68025-2384
(402) 721-3133
(402) 941-7017

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
14148
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47053664516
NE
Enumeration date
02/22/2006
Last updated
09/22/2011
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