Individual
DR. JOHN C GERSHMAN-TEWKSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(207) 768-4209
(207) 768-4013
Mailing address
PO BOX 1820, PRESQUE ISLE, ME 04769-1820
(207) 764-7529
(207) 764-6504
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
012546
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003962
ANTHEM INDIVIDUAL ID
ME
Enumeration date
07/26/2006
Last updated
07/09/2007
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