This business location offers high-quality medical services in the field of orthopedic surgery. The office is wheelchair accessible, with an accessible restroom, parking lot, and entrance. However, it appears that the staff's professionalism can be inconsistent, as evidenced by the negative experiences of some patients. The front desk staff, particularly Irma, seem to be the point of contention, with some patients feeling that they receive unequal treatment. On the other hand, Dr. Gerken has received praise for his diagnostic skills and surgical expertise. Overall, this business seems to have some room for improvement in terms of patient experience and consistency in their services. The issue that stands out is the lack of professionalism and inconsistent treatment of patients by the front desk staff, which can be off-putting and may deter some patients from returning.