Individual
DR. GREGORY ALAN SELENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
421 MAIN ST, REINBECK, IA 50669-1049
(319) 788-5555
(319) 788-5551
Mailing address
113 CARMELA ST, HUDSON, IA 50643-2170
(319) 988-4672
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03080
IA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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