Individual
GEHRIG R WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3916 N INTERTECH CT, APPLETON, WI 54913-6957
(920) 996-1046
Mailing address
3916 N INTERTECH CT, APPLETON, WI 54913-6957
(920) 996-1046
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49554
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34894100
—
WI
01
—
GROUP PTAN CN7230
RAILROAD MEDICARE
—
Enumeration date
08/29/2006
Last updated
11/01/2016
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