Individual
ANDREW S GERKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
629 N SANDUSKY AVE, BUCYRUS, OH 44820-1821
(419) 562-4677
(419) 562-0987
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301502408
MI
207Q00000X
Family Medicine Physician
35082874
OH
207Q00000X
Family Medicine Physician
Primary
4301502408
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000339750
BCBS FOR MADISON
OH
01
—
000000346397
BCBS FOR GREENFIELD
OH
01
—
000000362624
BCBS FOR BUCYRUS
OH
01
—
000000384551
BCBS FOR GALION
OH
01
—
000000384661
BCBS GALION
—
05
—
2466700
—
OH
01
—
P00143218
RR MEDICARE FOR MADISON
OH
01
—
P00205797
RR MEDICARE - GREENFIELD
OH
01
—
P00263123
RR MEDICARE FOR BUCYRUS
OH
01
—
P00306579
RR
—
Enumeration date
04/21/2006
Last updated
06/10/2020
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