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Individual

ETHAN MICHAEL GERBIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16759-024
WI
225100000X
Physical Therapist
Primary
16759-24
WI
225100000X
Physical Therapist
CP033673T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100394309
WI
Enumeration date
08/27/2024
Last updated
02/05/2026
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