Individual
STEVEN J GERNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 S WEBSTER AVE, SUITE 303, GREEN BAY, WI 54301-3538
(920) 433-9621
(920) 445-7289
Mailing address
720 S WEBSTER AVE, SUITE 303, GREEN BAY, WI 54301-3538
(920) 433-9621
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
38744
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32314300
—
WI
01
—
770002360
RAILROAD MEDICARE
—
Enumeration date
08/13/2006
Last updated
02/15/2024
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