Gary Gonnerman is a Chiropractor based in Humboldt, IA. Gary Gonnerman practices in Humboldt, IA. The NPI Number for Gary Gonnerman is 1366429318 and holds a License No. 04523 (Iowa).
The current practice location address for Gary Gonnerman is 405 Sumner Ave, Humboldt, IA and can be reached out via phone at 515-332-2755.
Location: 405 Sumner Ave, Humboldt, IA, 50548-1728
Provider Profile Details
NPI Number
1366429318
Provider Name
Gary Gonnerman
Credential
Provider Entity Type
Individual
Gender
Male
Address
405 Sumner Ave, Humboldt, IA, 50548-1728
Phone Number
515-332-2755
Fax Number
Provider Enumeration Date
12/29/2005
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0132266 | 05 | IA | |
| 13226 | 01 | IA | BCBS |
Provider Business Practice Location Address Details
Address
405 Sumner Ave
City
State
Zip
50548-1728
Phone Number
515-332-2755
Fax Number
Provider Business Mailing Address Details
Address
405 Sumner Ave
City
State
Zip
50548-1728
Phone Number
515-332-2755
Fax Number
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
04523 (Iowa)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Badge
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