Individual
TERRY GEURKINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1675 BARTLETT CT, BELLEVILLE, WI 53508-9712
(608) 845-8458
Mailing address
1675 BARTLETT CT, BELLEVILLE, WI 53508-9712
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22973
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30571400
—
WI
Enumeration date
11/18/2005
Last updated
02/23/2009
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