Individual
DR. MAXINE VICTORIA GERKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4212 N 16TH ST, INTEGRATED SURGICAL SERVICE, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 200-5366
Mailing address
4212 N 16TH ST, INTEGRATED SURGICAL SERVICE, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 200-5366
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G64845
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G648450
—
CA
Enumeration date
07/18/2005
Last updated
06/30/2015
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