Individual
ETHAN MICHAEL GERBIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3021 VOYAGER DR, GREEN BAY, WI 54311-8303
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
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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