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Organization
GERALD RADLAUER MD INC
Active
Organization
GERALD RADLAUER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD M RADLAUER M.D. (PRESIDENT)
(760) 242-5389
Entity
Organization
Contact information
Practice address
18523 CORWIN RD STE I, APPLE VALLEY, CA 92307-2300
(760) 242-5389
(760) 946-5295
Mailing address
18564 US HIGHWAY 18 STE 105, APPLE VALLEY, CA 92307-2320
(760) 242-7777
(760) 242-3927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G87597
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G87597
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
10/24/2008
Last updated
05/21/2013
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