Organization
WYOMING MEDICAL WELLNESS CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELA S. GERARD M.D. , PHD, FMCP (OWNER)
(307) 670-9200
Entity
Organization
Contact information
Practice address
801 EAST 4TH STREET, SUITE 17, GILLETTE, WY 82716-4061
(307) 670-9200
(307) 257-7531
Mailing address
801 EAST 4TH STREET, SUITE 17, GILLETTE, WY 82716-4061
(307) 670-9200
(307) 257-7531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/12/2019
Last updated
08/27/2021
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