Individual
DR. FREDERICK J. GEHRKE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2860 BISHOP RD, WICKLIFFE, OH 44092-2670
(440) 585-0011
Mailing address
2860 BISHOP RD, WICKLIFFE, OH 44092-2670
(440) 585-0011
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18967
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0940905
—
OH
Enumeration date
10/13/2006
Last updated
07/08/2007
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