Provider Demographics
NPI:1376113902
Name:GESSLER MEDICAL CLINIC, LLC
Entity Type:Organization
Organization Name:GESSLER MEDICAL CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:GESSLER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:256-788-4495
Mailing Address - Street 1:4810 WHITESPORT CIR SW STE 217
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-7420
Mailing Address - Country:US
Mailing Address - Phone:256-788-4495
Mailing Address - Fax:
Practice Address - Street 1:4810 WHITESPORT CIR SW STE 217
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-7420
Practice Address - Country:US
Practice Address - Phone:256-788-4495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-27
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty