Molk, Gary Ian

Molk, Gary Ian is an individual health care provider with primary practice located at 1919 Lathrop St Ste 105 , Fairbanks AK 99701-5937. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Molk, Gary Ian can be contacted via phone (907) 459-3545.

Contact Information

Primary practice address
1919 Lathrop St Ste 105 Fairbanks AK 99701-5937
Phone: (907) 459-3545
Fax: (907) 328-0474
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 8512A Wyoming
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 107960 Alaska
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 8512A Wyoming

Profile Details

NPI number 1629233895
LBN Legal business name Molk, Gary Ian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2008
Last updated Mar 25th, 2024 - about 8 months 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 1629233895 NPPES
Alaska MEDICAID 1647591

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