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Individual

EDWIN S. GERRISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
506 1ST AVE SE, WATERTOWN, SD 57201-4402
(605) 886-8482
(605) 884-4300
Mailing address
506 1ST AVE SE, WATERTOWN, SD 57201-4402
(605) 886-8482
(605) 884-4300

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1392
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7300773
SD
Enumeration date
04/27/2006
Last updated
09/04/2008
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