Individual
GERARD THOMAS PARENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2901 WEST KINNICKINNIC RIVER PARKWAY, SUITE 200, MILWAUKEE, WI 53215
(414) 649-3790
(414) 649-5648
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20761
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30153200
—
WI
01
—
P00707810
RR MEDICARE
WI
Enumeration date
09/29/2006
Last updated
12/28/2010
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