Individual
DEAN LEE GUERDET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 KENYON RD, FORT DODGE, IA 50501-5759
(515) 576-7171
(515) 576-7728
Mailing address
720 KENYON RD, FORT DODGE, IA 50501-5759
(515) 576-7171
(515) 576-7728
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
135196
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G135196
IA
Other
Enumeration date
05/19/2016
Last updated
12/22/2016
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