Individual
MR. GAIL DUANE VEGTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1251 W CEDAR LOOP, CHEROKEE, IA 51012-1572
(712) 225-6918
Mailing address
1825 530TH ST LOT 45, CHEROKEE, IA 51012-7260
(906) 282-1668
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001686
IA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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