Individual
MR. DAVID ALFRED GEBHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SAC
Contact information
Practice address
5212 COUNTY HIGHWAY M, OREGON, WI 53575
(608) 835-3101
Mailing address
305 E JOHNSON ST, 2, MADISON, WI 53703-1525
(608) 214-8870
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15615131
WI
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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