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Individual

DR. GERARD G GUERIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5787 S HAMPTON RD, DALLAS, TX 75232-2255
(601) 362-3158
(601) 987-8800
Mailing address
47026 SCOTT DR, HAMMOND, LA 70401-7323
(601) 362-3158
(601) 987-8800

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80070
MS
335E00000X
Prosthetic/Orthotic Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00015989
MS
05
1323462
LA
01
P00218384
RAILROAD MEDICARE
MS
Enumeration date
07/20/2006
Last updated
02/07/2018
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