Individual
DR. GABRIELE EMMA TEERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 529-6048
(208) 529-7085
Mailing address
1820 E 17TH STREET, STE 230, IDAHO FALLS, ID 83404-6521
(208) 529-9779
(208) 542-2756
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35086120
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M10187
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4010167583
REGENCE BLUE SHIELD OF IDAHO
ID
01
—
77343
BLUE CROSS OF IDAHO
ID
05
—
808087700
—
ID
Enumeration date
03/14/2006
Last updated
12/27/2012
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