Individual
DR. ROBERT ALLAN GJERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6715 W 126TH PLACE, OVELAND PARK, KS 66209-3230
(651) 402-3558
Mailing address
6715 W 126TH PLACE, OVELAND PARK, KS 66209-3230
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
12-00393
KS
213EP1101X
Primary Podiatric Medicine Podiatrist
2012013991
MO
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
566
MN
213ES0131X
Foot Surgery Podiatrist
566
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114036
UCARE
MN
01
—
21250174910
BEECHSTREET
MN
01
—
27-00450
MEDICA
MN
05
—
278018600
—
MN
01
—
465TOGJ
BCBS OF MN
MN
01
—
5836442
AETNA
MN
01
—
686485
AMERICA'S PPO
MN
01
—
971371012008
PREFERREDONE
MN
01
—
P00141474
RAILROAD MEDICARE
MN
Enumeration date
06/27/2005
Last updated
04/04/2014
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