Individual
TATYANA M GERACHSHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD,PHD
Contact information
Practice address
721 AMERICAN AVE STE 108, WAUKESHA, WI 53188-5071
(262) 928-8200
Mailing address
721 AMERICAN AVE STE 108, WAUKESHA, WI 53188-5071
(262) 928-8200
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
65481
WI
208600000X
Surgery Physician
4301100666
MI
Other
Enumeration date
07/25/2012
Last updated
01/10/2019
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