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Individual

MICHAEL GERNANT

Active
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Individual

MICHAEL GERNANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36067279
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-0672791
—
IL
01
—
04815039
BLUE CROSS BLUE SHIELD
—
01
—
200029632
RAILROAD MEDICARE
—
Enumeration date
09/12/2005
Last updated
05/06/2008
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