Individual
MATTHEW B GERRELTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
81097
WI
208100000X
Physical Medicine & Rehabilitation Physician
8588
NE
Other
Enumeration date
06/21/2019
Last updated
08/14/2023
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