Individual
DR. JAMES R GEBHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
2141 N FAIRFIELD RD, SUITE B, BEAVERCREEK, OH 45431-2578
(937) 458-0085
(937) 458-0212
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2159
TN
2086S0129X
Vascular Surgery Physician
34.003032
OH
2086S0129X
Vascular Surgery Physician
Primary
72865
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012934350002
—
PA
Enumeration date
02/01/2006
Last updated
04/08/2020
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