Individual
DR. MARK JONATHAN GAETKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1530 E 6TH ST, RENO, NV 89512-3707
(775) 322-5757
(775) 322-5776
Mailing address
1530 E 6TH ST, RENO, NV 89512-3707
(775) 322-5757
(775) 322-5776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6893
NV
Other
Enumeration date
07/18/2006
Last updated
06/05/2009
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