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Individual

MR. JEREMY PAUL GERWE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3412 OFFICE PARK DRIVE, MARION, IL 62959
(618) 993-0404
(618) 993-1717
Mailing address
3412 OFFICE PARK DRIVE, MARION, IL 62959
(618) 993-0404
(618) 993-1717

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036128431
IL
208000000X
Pediatrics Physician
42607
KY
208M00000X
Hospitalist Physician
036128431
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200947990
IN
05
7100080980
KY
Enumeration date
02/08/2007
Last updated
11/25/2025
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