Individual
MADISON GERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9144 STRATHMORE LN, FORT WAYNE, IN 46818-8457
(260) 316-5751
Mailing address
9144 STRATHMORE LN, FORT WAYNE, IN 46818-8457
(260) 316-5751
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
28251955A
IN
363L00000X
Nurse Practitioner
28251955A
IN
363LA2200X
Adult Health Nurse Practitioner
28251955A
IN
Other
Enumeration date
09/01/2021
Last updated
01/24/2024
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