Individual
TIMOTHY R GUTSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1301 PENNSYLVANIA AVE, STE 417, DES MOINES, IA 50316-2350
(515) 263-5684
Mailing address
4021 BAYBERRY CT, URBANDALE, IA 50322-2171
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25336
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105098
—
IA
05
—
3105098
—
IA
01
—
930039017
MEDICARE RAILROAD
IA
Enumeration date
11/15/2006
Last updated
09/16/2009
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