Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 38180 | IA |
N | 111NI0900X | Internist | 38180 | IA |
N | 207RC0200X | Critical Care Medicine | 38180 | IA |
Y | 207RP1001X | Pulmonary Disease | 38180 | IA |
N | 207RP1001X | Pulmonary Disease | R-7700 | IA |
NPI | 1053520759 |
---|---|
Provider Name | Alicia Gerke |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 15/06/2009 |