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Individual
DR. STEPHAN O GERLACH
Active
Individual
DR. STEPHAN O GERLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9801653
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11972
BLUE CROSS PIN
NC
01
—
560989789
TAX ID
NC
05
—
8911972
—
NC
Enumeration date
03/12/2007
Last updated
01/14/2022
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