Gerr, Fredric Ethan

Gerr, Fredric Ethan is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gerr, Fredric Ethan can be contacted via phone (319) 356-4187.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Phone: (319) 356-4187
Fax: (319) 353-6406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34710 Iowa
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 34710 Iowa

Profile Details

NPI number 1316991144
LBN Legal business name Gerr, Fredric Ethan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jun 29th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316991144 NPPES
Iowa Other 55844 WELLMARK BCBS
Iowa MEDICAID 0272484 WELLMARK BCBS

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