Provider Demographics
NPI:1306864087
Name:GERSZEWSKI, CYNTHIA ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ANN
Last Name:GERSZEWSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5675 N ORACLE RD
Mailing Address - Street 2:STE 3203
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-3884
Mailing Address - Country:US
Mailing Address - Phone:520-293-6060
Mailing Address - Fax:
Practice Address - Street 1:5675 N ORACLE RD
Practice Address - Street 2:SUITE 3202
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-3884
Practice Address - Country:US
Practice Address - Phone:520-293-6060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5552111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1306864087OtherNPI NUMBER
AZ1306864087OtherNPI NUMBER
AZV10106Medicare UPIN