Individual
MR. MICHAEL GERHOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
50 MAGNOLIA GARDENS DR, COVINGTON, LA 70435-9520
(972) 834-6759
Mailing address
50 MAGNOLIA GARDENS DR, COVINGTON, LA 70435-9520
(972) 834-6759
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
1168
LA
247100000X
Radiologic Technologist
MRT4610
MS
Other
Enumeration date
08/21/2009
Last updated
08/20/2013
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