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Individual

WAYNE A GERARD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1509 29TH ST S, GREAT FALLS, MT 59405-5363
(406) 771-3500
(406) 771-3502
Mailing address
1400 29TH ST S, GREAT FALLS, MT 59405-5353
(406) 454-2171
(406) 771-3021

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9979
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0041225
MT
Enumeration date
08/09/2005
Last updated
07/08/2007
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