Provider Demographics
NPI:1215934708
Name:PEES, GERALD B JR (MD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:B
Last Name:PEES
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:4525 W 6TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-4815
Mailing Address - Country:US
Mailing Address - Phone:785-843-5160
Mailing Address - Fax:785-843-2524
Practice Address - Street 1:4525 W 6TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-4815
Practice Address - Country:US
Practice Address - Phone:785-843-5160
Practice Address - Fax:785-843-2524
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-30
Last Update Date:2020-12-10
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Provider Licenses
StateLicense IDTaxonomies
KS0415060207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS10081550AMedicaid
KSB91007Medicare UPIN
KS10081550AMedicaid