Individual
GENNADY VERTKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 12TH AVE, BAYLOR SURGICAL HOSPITAL FORT WORTH, FORT WORTH, TX 76104
(817) 334-5050
(817) 334-0235
Mailing address
301 NW 82ND AVE, PLANTATION, FL 33324-1811
(954) 693-8600
(954) 452-2693
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
M2854
TX
207L00000X
Anesthesiology Physician
Primary
ME48681
FL
Other
Enumeration date
05/09/2006
Last updated
01/11/2018
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