Individual
DR. JON D GERDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
67-1123 MAMALAHOA HWY, STE 128, KAMUELA, HI 96743-8451
(808) 887-6460
(808) 887-6441
Mailing address
67-1123 MAMALAHOA HWY, STE 128, KAMUELA, HI 96743-8451
(808) 887-6460
(808) 887-6441
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5842
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02481501
—
HI
Enumeration date
09/28/2006
Last updated
07/08/2007
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